Unilateral Acute Idiopathic Maculopathy: A Case of Atypical Presentation.

Lee, Seung Soo; Kim, Eung Cheol; Kim, Yun Young; Kim, Si Dong

Case Report

Journal of the Korean Ophthalmological Society 2000;41(8):1796-1800.
Published online August 1, 2000.

Unilateral Acute Idiopathic Maculopathy: A Case of Atypical Presentation.

Seung Soo Lee, Eung Cheol Kim, Yun Young Kim, Si Dong Kim

Department of Ophthalmology, School of Medicine, Catholic University of Taegu.

편측성급성특발성황반병증 : 비전형적인 1 예

이승수(Seung Soo Lee),김응철(Eung Cheol Kim),김윤영(Yun Young Kim),김시동(Si Dong Kim)

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.

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