Early spectral-domain optical coherence tomography findings in unilateral acute idiopathic maculopathy

摘要

Unilateral acute idiopathic maculopathy (UAIM) is a rare disorder that affects young people presenting with an acute onset of unilateral central visual loss often associated with a prodromal flu-like illness. Cox-sackievirus infection is considered as the cause of UAIM. The disease is characterized by a spontaneous recovery over several weeks. Previous spectral-domain optical coherence tomo-graphic studies have reported abnormal heterogenous hyperreflective thickening at the level of the outer retina and retinal pigment epithelium in the foveal region during the acute phase. However, direct visualization of outer retina and retinal pigment epithelium edema has not been reported so far. Here, we report the very early macular changes in UAIM.