The expanding clinical spectrum of unilateral acute idiopathic maculopathy
K. B. Freund, L. A. Yannuzzi, G. R. Barile, R. F. Spaide, S. A. Milewski and D. R. Guyer
Retinal Research Fund of the Manhattan Eye, Ear and Throat Hospital, New York, NY, USA.
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.
