J Korean Ophthalmol Soc.  2000 Aug;41(8):1796-1800.

Unilateral Acute Idiopathic Maculopathy: A Case of Atypical Presentation

• Lee SS
• Kim EC
• Kim YY
• Kim SD

Abstract

Unilateral acute idiopathic maculopathy(UAIM)is a rare, self-limiting disorder that affects healthy young adults who experience sudden, severe visual loss. It is characterized by an exudative maculopathy with irregular margins and yellowish-white thickening at the level of the retinal pigment epithelium(RPE). The fluorescein angiographic findings characteristically demonstrate early irregular hyperfluorescence and hypofluorescence at the level of RPE lesion, followed by complete staining of the overlying neurosensory retinal detachment in the late phase. A characteristic bulls-eye pattern pigmentary changes may occur in the macula after resolution of the acute phase of the disease. We report a patient with atypical presentation of UAIM in which multifocal leaks at the RPE level on the fluorescein angiography was observed.

Keyword

Fluorescein angiography; Retinal detachment; Retinal pigment epithelium; Unilateral acute idiopathic maculopathy; Visual loss

MeSH Terms

Fluorescein
Fluorescein Angiography
Humans
Retinal Detachment
Retinal Pigment Epithelium
Retinaldehyde
Young Adult
Fluorescein
Retinaldehyde