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Arch Ophthalmol. 2004;122:121-123.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Unilateral acute idiopathic maculopathy (UAIM) is an inflammatory process involving the outer retina and retinal pigment epithelium (RPE) of the macula. It is typically associated with a serous neurosensory detachment and is sometimes associated with papillitis, subretinal exudation, intraretinal hemorrhages, and/or vitreous cells.^1-2 Patients report a loss of central vision followed by a remarkable spontaneous recovery over a period of several weeks. This entity frequently affects young, healthy individuals and is often associated with a prodromal flulike illness. We describe 2 patients who developed ocular findings consistent with UAIM shortly after developing classic signs and symptoms of hand-foot-and-mouth disease. We believe that coxsackievirus, which causes hand-foot-and-mouth disease, may also cause UAIM.

Report of Cases

Case 1

A 30-year-old woman had a 5-day history of decreased vision in her left eye. Hand-foot-and-mouth disease had spread through her child's daycare center that same week. The patient had a sore throat and small erythematous papules on the palms . . . [Full Text of this Article]

Case 2

Comment
Adam P. Beck, MD; Lee M. Jampol, MD
Chicago, Ill

David A. Glasser, MD
Florissant, Mo

John S. Pollack, MD
Chicago

Corresponding author and reprints: Lee M. Jampol, MD, Department of Ophthalmology, Feinberg School of Medicine, Northwestern University, 645 N Michigan Ave, Suite 440, Chicago, IL 60611 (e-mail: L-jampol@northwestern.edu).

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