Spectral Domain Optical Coherence Tomography of a Patient with Acute Retinal Pigment Epithelitis

Abstract

Kaspars Kudins and Zanna Kudina

Introduction: Acute retinal pigment epithelitis or Krill’s disease first time was described in 1972 as unknown disease and selflimiting inflammatory disorder that influence retinal pigment epithelium in the area of macula. Affecting most of all young adults. Disease equally affects males and females. Symptoms are characterized by sudden changes in vision. The etiology of ARPE is unknown, but there are suggestions that viral infection may play role in the pathogenesis. The diagnosis of ARPE is made based on clinical suspicion, as well as fundus findings. The purpose of this case is to report the clinical changes, laboratory changes and objective spectral domain optical tomography images of an ARPE at the acute phase and resolving phase. Clinical Observation: 28 years old female with subjective complains of blurring in her left eye was examined with OCT scan, vision test, refractometry, laboratory testing was taken in his acute phase of ARPE and then the patient was treated 20 days and after the examination was repeated. There were changes in subjective symptoms and objective there was positive changes in vision test, OCT scan also showed significant positive changes in foveal map, epithelium dislocation. Conclusion: ARPE has a different objective findings during different phases of illness in OCT scan, vision testing, and also in subjective patient complains. ARPE is self-limiting disease, but treatment with oral steroids also might influence development of a disease.

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