Above is an optos color fundus photo of the right eye of a 17-year-old man presenting with central vision loss over a period of a few days. The fundus photograph and fundus examination revealed scattered retinal pigment epithelial changes and scars in the posterior pole. There is a scar in the fovea (yellow arrow). The picture is consistent with acute multifocal placoid pigment epithiliopathy (AMPPE). The vision at presentation was counting fingers, but improved to 20/50.