Acute idiopathic maculopathy

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dc.contributor.author Ghazi, Nicola G.
dc.contributor.author Daccache, Armand
dc.contributor.author Conway, Brian P.
dc.date.accessioned 2019-06-14T10:29:40Z
dc.date.available 2019-06-14T10:29:40Z
dc.date.copyright 2007 en_US
dc.date.issued 2019-06-14
dc.identifier.issn 0161-6420 en_US
dc.identifier.uri http://hdl.handle.net/10725/10824
dc.description.abstract Purpose To report an unusual patient with bilateral acute idiopathic maculopathy that was associated with a macular hole and elevated coxackievirus titers. Design Observational case report. Participant A 30-year-old female. Methods A 30-year-old female with bilateral exudative maculopathy and a macular hole in the left eye was followed up with fundus photography, fluorescein angiography, and optical coherence tomography. A possible association with coxackievirus infection was evaluated. Pars plana vitrectomy in an attempt to close the macular hole also was performed. Main Outcome Measures Evolution of the maculopathy process, angiographic and optical coherence tomographic findings, and response of the macular hole to vitrectomy. Results The clinical presentation and evolution of the maculopathy were most compatible with unilateral acute idiopathic maculopathy (UAIM), but with bilateral involvement. Moreover, the patient was found to have elevated coxackievirus titers at presentation. The subretinal infiltrates resolved in both eyes, with full recovery of vision in the right eye. In the left eye, the macular hole persisted despite resolution of the exudative process. Vitrectomy failed to seal the hole. We report some atypical features of this patient as they may shed light on the disease pathogenesis. Conclusion We report a patient with UAIM with bilateral involvement, a macular hole in one eye, and elevated coxackievirus titers. Macular hole formation in UAIM has not, to our knowledge, been reported. en_US
dc.language.iso en en_US
dc.title Acute idiopathic maculopathy en_US
dc.type Article en_US
dc.description.version Published en_US
dc.title.subtitle report of a bilateral case manifesting a macular hole en_US
dc.author.school SOM en_US
dc.author.idnumber 201000154 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Ophthalmology en_US
dc.journal.volume 114 en_US
dc.journal.issue 5 en_US
dc.article.pages e1-e6 en_US
dc.identifier.doi https://doi.org/10.1016/j.ophtha.2006.08.055 en_US
dc.identifier.ctation Ghazi, N. G., Daccache, A., & Conway, B. P. (2007). Acute idiopathic maculopathy: report of a bilateral case manifesting a macular hole. Ophthalmology, 114(5), e1-e6. en_US
dc.author.email nicola.ghazi@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url https://www.sciencedirect.com/science/article/pii/S0161642006013315 en_US
dc.author.affiliation Lebanese American University en_US

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