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Living with Acute posterior multifocal placoid pigment epitheliopathy

An inflammatory eye condition with yellow-white spots at the back of the eye, usually in both eyes, that often clears on its own.

Understanding Acute posterior multifocal placoid pigment epitheliopathy

Acute posterior multifocal placoid pigment epitheliopathy (APMPPE) is an acquired, inflammatory eye condition affecting the retina and nearby layers.

It affects the retina, the pigmented layer under it, and the choroid, usually in both eyes. It causes several yellow-white spots at the back of the eye. Vision can be significantly affected if the macula is involved. It typically clears on its own in weeks to months.

Signs & symptoms

GARD doesn't list specific symptoms for this condition yet. The summary describes changes in the back of the eye and in vision.

  • Yellow-white spots at the back of the eye
  • Reduced sharpness of vision if the macula is involved

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Is my macula affected, and how will you check my vision?
Should I be checked for inflammation of blood vessels in the brain?
How often should I have follow-up eye exams?

Quick facts

GARD says the cause is unknown. About a third of cases appear to develop after a flu-like illness.

Also known as: acute multifocal placoid pigment epitheliopathy; amppe - acute multifocal placoid pigment epitheliopathy; epitheliopathy, acute posterior multifocal placoid pigment; pigment epitheliopathy, disseminated retinitis and retinochoroiditis

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Acute posterior multifocal placoid pigment epitheliopathyGARD ID 2183 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Acute posterior multifocal placoid pigment epitheliopathy.

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