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Idiopathic acute exudative polymorphous vitelliform maculopathy: the importance of multimodal imaging, systemic workup and genetic testing
  1. Joana Silva Fernandes1,
  2. Pedro Prata Gomes2,
  3. Pedro Neves2 and
  4. João Pedro Marques3,4
  1. 1Ophthalmology Department, Centro Hospitalar de Vila Nova de Gaia Espinho EPE, Vila Nova de Gaia, Portugal
  2. 2Ophthalmology Department, Centro Hospitalar de Setubal EPE, Setubal, Portugal
  3. 3Ophthalmology Department, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal
  4. 4Clinical Academic Center of Coimbra (CACC), Coimbra, Portugal
  1. Correspondence to Dr João Pedro Marques; marquesjoaopedro{at}


The authors describe a case of acute exudative polymorphous vitelliform maculopathy (AEPVM) in an otherwise healthy man in his 60s complaining of subacute bilateral blurred vision. At examination, best-corrected visual acuity was 20/32 in the right eye and 20/40 in the left eye. Bilateral central large serous detachments with inferior meniscus-like deposition of a vitelliform-like material were observed at funduscopy and confirmed by spectral-domain optical coherence tomography. Small vitelliform-like lesions along the temporal superior vascular arcades were also seen. The lesions with vitelliform appearance appeared hyperautofluorescent on fundus autofluorescence. A complete systemic workup and genetic testing were performed and the diagnosis of idiopathic AEPVM was established. Six months later, a complete resolution of the lesions was observed.

  • Ophthalmology
  • Retina

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  • Contributors JSF, JPM, PPG and PN were responsible for drafting of the the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content. JSF, JPM, PPG and PN gave final approval of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.