인플루엔자백신 접종 후 발생한 급성후부다발판모양색소상피병증

• 영문명: Acute Posterior Multifocal Placoid Pigment Epitheliopathy following Influenza Vaccination
• 발행기관: 대한검안학회
• 저자명: 이송민(Song Min Lee) 권윤형(Yoon Hyung Kwon)
• 간행물 정보: 『Annals of optometry and contact lens』Vol.19 No.2, 44~47쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2020.06.30

영문 초록

Purpose: To report a case of acute posterior multifocal placoid pigment epitheliopathy (APMPPE) following influenza vaccination. Case summary: A 62-year-old woman complained of unilateral blurry vision 10 to 14 days after influenza vaccination. At an initial visit, her right eye’s visual acuity and intraocular pressure was 0.5 and 24 mmHg respectively, and mild inflammatory cells were found in the anterior chamber and vitreous. Intraretinal fluid in the fovea, resembling cystic lesion, was also observed through spectral domain-optical coherence tomography (SD-OCT). Fluorescein angiography revealed unilateral multifocal early hypofluorescent lesion and late hyperfluorescent lesion. But indocyanine-green angiography revealed unilateral multifocal early and late hypofluorescent lesion. We diagnosed unilateral APMPPE and continued close observation. A one day later, anterior chamber cells disappeared and intraretinal fluid in the fovea was improved in SD-OCT, disappearing after one month. At six months follow-up, visual acuity became 1.0 with no recurrences. Conclusions: APMPPE is rare after human influenza vaccination. This is the first case, in Korea, of APMPPE after the influenza vaccination.

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키워드

Acute posterior multifocal placoid pigment epitheliopathy Influenza Vaccination