Purpose: To report a case of unilateral recurrent acute posterior multifocal placoid pigment epitheliopathy (APMPPE) imaged by indocyanine green (ICG) angiography.
Methods: A complete ophthalmological evaluation, including fluorescein and ICG angiography, was performed.
Results: Acute posterior multifocal placoid pigment epitheliopathy recurred 3 months after the initial disease in a 23-year-old male patient. On ICG angiography, both new, active and healed, inactive lesions demonstrated hypofluorescence throughout the study. The healed lesions were smaller in size and irregularly shaped, whereas the new, active lesions were larger in size, round and more confluent.
Conclusion: New, active and healed, inactive lesions in APMPPE can both be imaged and differentiated by ICG angiography.