Figure 20.

Non-classifiable case of choriocapillaritis. A middle-aged man was diagnosed as “unilateral APMPPE” OS (Top two frames) with a severe drop of vision after a flu-like episode. The doctors refrained from immunosuppressive treatment as “APMPPE is a self-limited disease” but macular atrophy ensued (bottom two frames). His right eye underwent the same evolution, less than a month later and the patient consulted another hospital where again nothing was undertaken as “APMPPE is a self-limited disease”. We saw the patient a few weeks later with macular atrophy OS and partial atrophy with choriocapillaris non-perfusion on ICGA OD (middle left picture- pre-CS) Systemic corticosteroid therapy was started, allowing to recover some areas of non-perfusion (middle right-post CS), but with a final low visual acuity. The first ICGA (top two frames) clearly showed choriocapillaris disease, which could, however, not be classified into one of the known entities.