TITLE:
Optical Coherence Tomography Findings in a Case of Unilateral Acute Idiopathic Maculopathy
AUTHORS:
José Andonegui, José Ramón Maya, Ane Zurutuza, Mónica Pérez de Arcelus
KEYWORDS:
Unilateral Acute Idiopathic Maculopathy; Optical Coherence Tomography
JOURNAL NAME:
Open Journal of Ophthalmology,
Vol.2 No.4,
November
23,
2012
ABSTRACT: Purpose: To describe the clinical, angiographic, and Optical Coherence Tomography (OCT) findings in a patient with Unilateral Acute Idiopathic Maculopathy (UAIM) and to discuss a possible pattern of OCT findings in patients with this disease. Methods: Case report. Results: A 34-year-old man with UAIM was evaluated. During the acute phase fundus examination revealed a yellow thickening in the macular area of the right eye, Fluorescein Angiography (FA) showed early alternating patches of hypofluorescence and hyperfluorescence and late hyperfluorescence and OCT showed thickening of the outer retina in the foveal zone. Six weeks later, the macula had pigmentary mottling, FA showed an area of central hypofluorescence surrounded by a hyperfluorescent ring that remained unchanged during the angiogram and the OCT examination was normal. Conclusion: OCT is a useful diagnostic tool for UAIM. OCT evaluation of patients with this disease will exhibit the heterogeneous hyperreflectivity and thickening of the outer retina and Retinal Pigment Epithelium (RPE). A serous macular detachment may not be a prominent finding in UAIM.