*Multimodal Imaging of White Dot Syndromes DOI: http://dx.doi.org/10.5772/intechopen.106467*

On OCT, there may be hyperreflectivity probably due to ischemic edema or presence of inflammatory cell infiltrates (**Figure 2**) [24, 26, 27] with subsequent disruption or loss of the outer retina and EZ, and sometimes subretinal fluid. As the lesions resolve, RPE disruption or atrophy may also occur. OCT-A demonstrates that this changes correlate with greater areas of hypoperfusion at the level of choriocapillaris being detected also on FFA and ICGA [9].

All these findings thus support the theory that APMPPE/AMIC is a disorder primarily caused by ischemic events occurring in the choriocapillaris and secondarily affecting the outer retina and RPE.
