Dr. SAYALI AMOL KARANDE

DR. ANUP KELGAONKAR

Abstract

A 40-years-old male, presented with complaints of sudden diminution of vision in both eyes (BE) for four days.His BCVA was 20/200 in the right eye and 20/250 in the left eye. Fundus examinations of BE revealed a single large yellowish placoid like outer retinal lesion at the posterior pole with creamy and indistinct margins.Detailed history revealed high-risk sexual behaviour.FFA in BE showed early hypofluorescence, followed by multiple hypo-fluorescent spots on a background of hyperfluorescence (leopard spot sign).Autofluorescence (AF) showed multiple hyper-autofluorescent spots on the background of hypo autofluorescence; a pattern that was inverse of FFA. His VDRL and TPHA were both reactive.Autofluorescence showed fading of these spots with ill distinct margins which correlated on OCT as flattening of RPE nodules during resolution. We believe AF is an excellent noninvasive investigating tool for pattern recognition in ASPPC and to can aid in monitoring the disease activity.