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May 1996

The Expanding Clinical Spectrum of Unilateral Acute Idiopathic Maculopathy

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.