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November 1987

Acute Foveal Outer Retinopathy

Arch Ophthalmol. 1987;105(11):1490. doi:10.1001/archopht.1987.01060110036021

To the Editor.  —Our case may represent a clinical entity of unknown origin that affects the outer retina in the fovea. Hence, we have named this condition "acute foveal outer retinopathy."

Report of a Case.  —A 17-year-old girl was seen because of symptoms in the visual fields of bilateral "black spots," which were worse in the left eye. The onset of the symptoms had been sudden, starting two weeks before the initial examination. She was healthy, was without systemic problems, and denied intake of oral contraceptives, recent flulike syndrome, sun exposure, and drug use. The best corrected visual acuity was 20/40 OU. The anterior segment was normal in both eyes. Indirect ophthalmoscopy disclosed rather peculiar symmetrical macular lesions seen as round, reddish discolorations of the foveal areas centered on the foveolas (Fig 1). Fluorescein angiography revealed no abnormalities, including no evidence of disturbance of the retinal pigment epithelium or fluorescein

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