Serous retinal detachment as a complication of acute posterior multifocal placoid pigment epitheliopathy.

PURPOSE: To report the occurrence and optical coherence tomography characteristics of serous retinal detachments in a patient with acute posterior multifocal placoid pigment epitheliopathy (APMPPE).

METHODS: A patient with APMPPE presented with a dramatic reduction in vision associated with bilateral serous retinal detachments.

RESULTS: After systemic steroid treatment, the serous detachments resolved leaving pigmentary changes typical of resolved APMPPE.

CONCLUSION: Serous retinal detachments are an unusual finding in APMPPE. We describe an unusual case of APMPPE that has features typical of both APMPPE and Vogt-Koyanagi-Harada disease with optical coherence tomography characteristics that, to the authors' knowledge, have yet to be described in APMPPE.