Mortality From Cerebral Vasculitis Associated With Rapid Steroid Taper During Treatment of Acute Posterior Multifocal Placoid Pigment Epitheliopathy

Figure 1. Color fundus photographs and spectral-domain optical coherence tomographic scans. Fundus photographs of the right (A) and left (B) maculae demonstrate yellow-brown, ovoid irregularities of the retinal pigment epithelium involving the fovea in each eye. Spectral-domain optical coherence tomographic horizontal raster scans through the right (C) and left (D) foveae have outer retinal thinning and disorganization overlying subretinal fluid and nodular thickening of the retinal pigment epithelial band with intervening transmission defects from retinal pigment epithelial thinning. I indicates inferior; N, nasal; S, superior; and T, temporal.

Figure 2. Fluorescein angiograms. A, Early venous fluorescein angiogram of the left macula shows a lobular hypofluorescent area of blockage corresponding to the placoid lesion in Figure 1B. B, Late-frame image shows a resolving choriocapillaris-filling defect and focal areas of hyperfluorescence at the lesion's borders.