Idiopathic Acute Exudative Polymorphous Vitelliform Maculopathy: Insight into Imaging Features and Outcomes

Figure 2

Sequential infrared and spectral domain optical coherence tomography (SD-OCT) of the right and left eyes. At presentation, bilateral subfoveal serous retinal detachment was present (a and a1). One month later, there was progression of bilateral macular subretinal fluid with the appearance of new small bleb-like serous retinal detachments along vascular arcades; SD-OCT showed a large serous neurosensory retinal detachment with remarkable thickening of the photoreceptor layer associated with the accumulation of amorphous material in the subretinal space (b and b1). Two months later, it is possible to observe the coalescence of the lesions. External limiting membrane and ellipsoid integrity was preserved (c and c1). At six months, SD-OCT revealed a marked reduction of the serous component in the detachments, and progressive shedding of the photoreceptor layer with more amorphous material accumulated in the subretinal space (d and d1). One year after diagnosis, a complete resolution of subretinal fluid with persistence of small vitelliform material deposits could be seen. It is possible to notice that the ellipsoid and external limiting membrane were slight disrupted.