IDIOPATHIC ACUTE EXUDATIVE POLYMORPHOUS VITELLIFORM MACULOPATHY: A 5-YEAR FOLLOW-UP.

Retin Cases Brief RepOct 28, 2026
Case ReportOphthalmologyRadiology (Diagnostic)

Rémi Pyra, Isabelle Audo, Hajar Jebrane et al.

✦ AI-curated · Sources linked

Case in brief

A patient with idiopathic acute exudative polymorphic vitelliform maculopathy had 20/20 visual acuity in both eyes. Examination showed symmetrical multifocal serous retinal detachments and foveal vitelliform lesions bilaterally. Systemic evaluation ruled out neoplastic disorders; electro-oculography showed a decreased Arden ratio, and genetic testing for Best disease was negative. Over 5 years, the lesions improved but did not fully resolve, while visual acuity remained 20/20 in both eyes.

What made this case unusual

Central vitelliform lesions persisted incompletely resolved over long-term follow-up despite preserved 20/20 visual acuity in both eyes.

Diagnostic / clinical pearl

Persistent foveal vitelliform lesions in this disorder may coexist with preserved central visual acuity; lesion persistence alone did not indicate visual acuity loss in this case.

Source

PubMed · PMID 40982730

Published in Retin Cases Brief Rep. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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