Choroidal Vascular Changes in Acute Idiopathic Maculopathy as Demonstrated by Multimodal Imaging Including Optical Coherence Tomography Angiography
Author Type(s)
Resident/Fellow
Document Type
Article
Publication Date
2021
Journal Title
Case Reports in Ophthalmological Medicine
Abstract
Purpose. To present a case of acute idiopathic maculopathy (AIM) and illustrate primary choroidal perfusion defect using multimodal imaging. Case Description. We report a case of a 24-year-old man with a paracentral scotoma of the right eye and recent flu-like illness. The patient was found to have a unilateral ovoid-shaped, placoid lesion just inferior to the fovea. Multimodal imaging confirmed findings most consistent with a diagnosis of acute idiopathic maculopathy (AIM). Serologic studies confirmed a strongly positive immunoglobulin G (IgG) titer for coxsackievirus A. Spectral-domain optical coherence tomography angiography (SD-OCTA) showed bilateral areas of vascular reduction at the level of the choriocapillaris and choroid, sparing the retinal circulation. Conclusions and Importance. The changes in outer retina and retinal pigment epithelium, classically described in AIM, are likely secondary to choroidal hypoperfusion.
Recommended Citation
Khundkar, T., Hasan, S. R., Breazzano, M., Mei, C., & Johnson, B. B. (2021). Choroidal Vascular Changes in Acute Idiopathic Maculopathy as Demonstrated by Multimodal Imaging Including Optical Coherence Tomography Angiography. Case Reports in Ophthalmological Medicine, 2021, 6680020. https://doi.org/10.1155/2021/6680020
