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The Expanding Clinical Spectrum of Unilateral Acute Idiopathic Maculopathy
K. Bailey Freund, MD;
Lawrence A. Yannuzzi, MD;
Gaetano R. Barile, MD;
Richard F. Spaide, MD;
Stan A. Milewski, MD;
David R. Guyer, MD
Arch Ophthalmol. 1996;114(5):555-559.
Abstract
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.
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).
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