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JAMA Ophthalmology Clinical Challenge
March 2016

Exudative Macular Detachment After Viral Illness With Rash

Author Affiliations
  • 1Mayo Clinic, Rochester, Minnesota
JAMA Ophthalmol. 2016;134(3):335-336. doi:10.1001/jamaophthalmol.2015.3585

A man in his early 30s presented with 4 days of acute, monocular, painless vision loss. His visual acuity was 20/200 OD and 20/20 OS. There was no afferent pupillary defect, his color vision was intact bilaterally, and his intraocular pressures were normal. No anterior chamber or vitreal inflammation was present. Ophthalmoscopic examination of the right macula revealed a 2–disc diameter area of heterogeneous yellow retinal pigment epithelial (RPE) discoloration with overlying neurosensory retinal detachment and several small retinal hemorrhages (Figure 1A). The optic disc and retinal vessels were unremarkable, and ophthalmoscopic examination of the left eye revealed no abnormalities.

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