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¹M.D. Asistant Professor, Adıyaman University Faculty of Medicine, Department of Ophthalmology, Adıyaman/TURKEY
²M.D., Adıyaman Training and Research Hospital, Eye Clinic, Adıyaman/TURKEY
³M.D. Professor, Inonu University Faculty of Medicine, Department of Ophthalmology, Malatya/TURKEY
⁴M.D, Associate Professor, Göznuru Eye Hospital, Gaziantep/TURKEY In this paper we report a case of atypical acute posterior multifocal placoid pigment epitheliopathy patient with foveal involvement who was treated with systemic steroid. A 28 year old female patient applied to our clinic with complaint of sudden painless vision lost in her left eye for three days. Fundus examination of her left eye revealed multifocal, flat, grey-white placoid lesions primarily located in posterior pole with serous macular detachment. Her right eye was normal. Fluorescein angiography denoted bilateral involvement. Since foveal involvement was determined 1 mg/kg/day oral metilprednisolone treatment was administered. Although steroid treatment rapidly resolved serous macular detachment, it does not seem to affect markedly the natural course of the disease. Keywords : Acute posterior multifocal placoid pigment epitheliopathy, serous macular detachment, systemic steroid