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May 1996

The Expanding Clinical Spectrum of Unilateral Acute Idiopathic Maculopathy

Author Affiliations

From the LuEsther T. Mertz Retinal Research Fund of the Manhattan Eye, Ear and Throat Hospital and the Macula Foundation, New York, NY (Drs Freund, Yannuzzi, Barile, Spaide, and Guyer), and the Department of Ophthalmology, University of Connecticut, Farmington (Dr Milewski).

Arch Ophthalmol. 1996;114(5):555-559. doi:10.1001/archopht.1996.01100130547007

Objective:  To report on new features of unilateral acute idiopathic maculopathy (UAIM).

Patients:  We have evaluated an additional 17 patients with UAIM since 1991. This is a report of new features of the maculopathy noted in seven patients from this new series.

Results:  New clinical findings in UAIM included eccentric macular lesions, subretinal exudation, papillitis, and bilaterality. The occurrence of UAIM in association with pregnancy and human immunodeficiency virus was also observed.

Conclusions:  The description of these newly reported features broadens our understanding of the nature of UAIM. With recognition of the expanded clinical spectrum of this disorder, a more confident approach to diagnosis and management may be achieved.

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