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CASE REPORT
Year : 2018  |  Volume : 11  |  Issue : 3  |  Page : 280-283

Acute exudative polymorphous vitelliform maculopathy: To bolus or not to bolus?


Department of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Rome, Italy

Correspondence Address:
Dr. Serena Fragiotta
Via Provenzale, 9, Latina 04100, Rome
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ojo.OJO_12_2017

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Acute exudative polymorphous vitelliform maculopathy (AEPVM) is a rare bilateral maculopathy characterized by chronic and long-term course. We report a case of AEPVM with an unusual presentation and management in a middle-aged man. He presented with clinical features of bilateral AEPVM accompanied by multiple intraretinal cysts, with a sudden increase of intraretinal fluid and visual function deterioration over a span of few days. Therefore, we administered empirically an intravenous bolus injection of methylprednisolone. One week after, there was a full recovery of visual acuity and cystic intraretinal spaces completely disappeared.


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