PURPOSE: To report new findings revealed by spectral-domain optical coherence tomography in a patient with bilateral acute retinal pigment epitheliitis. METHODS: A patient presented with bilateral central scotoma and clinical and angiographic findings consistent with acute retinal pigment epitheliitis. Spectral-domain optical coherence tomography was performed at presentation and throughout follow-up. RESULTS: Early spectral-domain optical coherence tomography showed hyperreflectivity throughout the full thickness of the foveola, suggesting a full-thickness foveal inflammatory disorder. Later images provide insight into the natural course of acute retinal pigment epitheliitis and eventually showed a small outer retinal defect similar to that reported in some patients with macular microhole or foveal red spot. CONCLUSION: Acute retinal pigment epitheliitis is a macular inflammatory disorder that can involve the full thickness of the fovea and underlying retinal pigment epithelium and may result in a small defect in the outer retina similar to that reported in some patients with macular microhole or foveal red spot.
PURPOSE: To report new findings revealed by spectral-domain optical coherence tomography in a patient with bilateral acute retinal pigment epitheliitis. METHODS: A patient presented with bilateral central scotoma and clinical and angiographic findings consistent with acute retinal pigment epitheliitis. Spectral-domain optical coherence tomography was performed at presentation and throughout follow-up. RESULTS: Early spectral-domain optical coherence tomography showed hyperreflectivity throughout the full thickness of the foveola, suggesting a full-thickness foveal inflammatory disorder. Later images provide insight into the natural course of acute retinal pigment epitheliitis and eventually showed a small outer retinal defect similar to that reported in some patients with macular microhole or foveal red spot. CONCLUSION: Acute retinal pigment epitheliitis is a macular inflammatory disorder that can involve the full thickness of the fovea and underlying retinal pigment epithelium and may result in a small defect in the outer retina similar to that reported in some patients with macular microhole or foveal red spot.