Our patient presented with bilateral multifocal serous retinal detachments, which are better seen on red-free fundus imaging and OCT. Unfortunately, we don’t have any further clinical information.
Learning Points:
Acute exudative polymorphous vitelliform maculopathy (AEPVM) is a rare condition characterized by acute vision loss from multifocal serous retinal detachment that later progress to subretinal vitelliform lesions.
Initially the serous detachments can mimic central serous retinopathy, including thickening of the choroid. The yellow vitelliform lesions may take 1-2 years to completely resolve.
The condition is often self-limiting, and vision usually recovers within several months.
These patients need a systemic workup for metastatic disease, since paraneoplastic retinopathy, including metastatic melanoma, can mimic AEPVM.
