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. 2022 Jan 21;58(2):165. doi: 10.3390/medicina58020165

Figure 9.

Figure 9

(a) Case of APMPPE/AMIC with associated anterior uveitis. This patient presented with a bilateral non-granulomatous anterior uveitis with synechiae (right picture), a rare occurrence in APMPPE. The fundus showed bilateral placoid yellow lesions in the posterior pole (not shown) and discreet areas of ICGA hypofluorescence (left and middle pictures) that resolved without scars (not shown) following a short course of 40 mg of prednisone, tapered over 5 weeks. (b) Late FA pooling in a severe case of APMPPE/AMIC. In severe cases of APMPPE/AMIC, FA shows areas of abundant retinal pooling in the late angiographic phase (top picture). Traditionally this phenomenon is explained by the very hypothetical alleged change of polarity of the RPE and fluid movement from the choroid to the retina. However, the choriocapillaris areas under the retinal pooling are non-perfused (bottom picture). Therefore, a more probable origin of the fluid is exudation from retinal vessels in response to severe outer retinal ischemia.