Unilateral Acute Idiopathic Maculopathy Follow up by Optical Coherence Tomography Angiography a Case Report

Juan Gonzalo Sanchez; Milagros Guerra; Maria Carolina Sardi; Maria Adelaida Piedrahita; Claudia Patricia Acosta

doi:doi:10.11648/j.ijovs.20230801.11

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Unilateral Acute Idiopathic Maculopathy Follow up by Optical Coherence Tomography Angiography a Case Report

Juan Gonzalo Sanchez, Milagros Guerra, Maria Carolina Sardi, Maria Adelaida Piedrahita, Claudia Patricia Acosta

Published in International Journal of Ophthalmology & Visual Science (Volume 8, Issue 1)

Received: 27 November 2022 Accepted: 30 December 2022 Published: 17 January 2023

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Abstract

Background: It is described as a unilateral acute idiopathic maculopathy (UAIM) case, including spectral domain optical coherence tomography angiography (SD-OCTA) features and follow-up. Case information: the 24-week follow-up description by SD-OCTA of a 39-year-old woman with an episode of UAIM. SD-OCT showed at the beginning an upper yuxtafoveal diffuse hyperreflectivity of the outer nuclear layer (ONL), associated with a slight underlying serous detachment, and a choroidal thickness increase was observed too. Results: In SD-OCTA, a dark pattern was observed at the level of the choriocapillaris, with a progressive decrease in the size of this area with an almost complete resolution of the dark pattern during image follow-up a few weeks later. Conclusions: In the follow-up with SD-OCTA of a Unilateral Acute Idiopathic Maculopathy case, an impairment of the choriocapillaris was demonstrated that affected the outer retina with the spontaneous recovery of both. SD-OCTA can be a helpful tool to evaluate the recovery of choroidal flow for a longer time, knowing that the resolution of the changes evidenced at the choriocapillaris occurs more slowly, and complement the evaluation of these patients, with other tools that allow to accurately measure the choroidal blood flow to determine the etiology of this disease that remains controversial finally.

Published in	International Journal of Ophthalmology & Visual Science (Volume 8, Issue 1)
DOI	10.11648/j.ijovs.20230801.11
Page(s)	1-4
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Choriocapillaris, Choroides, Dark Pattern, Optical Coherence Tomography Angiography (OCT-A), Unilateral Acute Idiopathic Maculopathy (UAIM)

References

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[2]	Venkatesh R, Reddy N, Mishra P, Gupta A, Mahendradas P, Yadav N. Unilateral Acute Idiopathic Maculopathy following Severe Acute Respiratory Syndrome Corona Virus (SARS-CoV-2) Infection. Ocul Immunol Inflamm [Internet]. 2022 Mar 2 [cited 2022 Dec 28]; Available from: https://pubmed.cesproxy.elogim.com/35113743/
[3]	Jorge L, Queiroz R, Gasparin F, Vasconcelos-Santos D. Presumed Unilateral Acute Idiopathic Maculopathy following H1N1 Vaccination. Ocul Immunol Inflamm [Internet]. 2021 Aug 18 [cited 2022 Dec 28]; 29 (6). Available from: https://pubmed.cesproxy.elogim.com/32160085/
[4]	Bleicher ID, Brill D, Wu F, Sobrin L, Patel N. Acute Idiopathic Maculopathy Following SARS-CoV-2 Vaccination. Ocul Immunol Inflamm. 2022 Sep 2; 1–4.
[5]	Faure C, Cognard P, Robert MP. Late Contralateral Recurrence of Unilateral Acute Idiopathic Maculopathy: Adaptive Optics Findings. Ocul Immunol Inflamm. 2022 Apr 3; 30 (3): 707–12.
[6]	Freund KB, Yannuzzi LA, Barile GR, Spaide RF, Milewski SA, Guyer DR. The Expanding Clinical Spectrum of Unilateral Acute Idiopathic Maculopathy. Arch Ophthalmol. 1996 May 1; 114 (5): 555–9.
[7]	Haruta H, Sawa M, Saishin Y, Ohguro N, Tano Y. Clinical findings in unilateral acute idiopathic maculopathy. Int Ophthalmol. 2010 Apr 1; 30 (2): 199–202.
[8]	Ava S, Hazar L, Karahan M, Erdem S, Dursun M. Multimodal Imaging Of Unilateral Acute Idiopatic Maculopathy In A Child Patient. Retin Cases Brief Rep [Internet]. 2021 Sep 20 [cited 2022 Dec 28]; Available from: https://pubmed.cesproxy.elogim.com/34580249/
[9]	Shute CL, Chakravarthy U, McAvoy CE. Unilateral Acute Idiopathic Maculopathy Associated with Streptococcal Pharyngitis, A Case Report. Ocul Immunol Inflamm. 2022 Aug 18; 30 (6): 1511–4.
[10]	Sánchez-Vicente J, Moruno-Rodríguez A, de Las Morenas-Iglesias J, Rueda-Rueda T, Lechón-Caballero B, López-Herrero F. Multifocal presentation in 2 cases of unilateral acute idiopathic maculopathy. Arch Soc Espanola Oftalmol [Internet]. 2021 May [cited 2022 Dec 28]; 96 (5). Available from: https://pubmed.cesproxy.elogim.com/32593601/
[11]	Aggio FB, Farah ME, Meirelles RL, de Souza EC. STRATUSOCT and multifocal ERG in unilateral acute idiopathic maculopathy. Graefes Arch Clin Exp Ophthalmol. 2006 Apr 1; 244 (4): 510–6.
[12]	Jung CS, Payne JF, Bergstrom CS, Cribbs BE, Yan J, G. Baker Hubbard III, et al. Multimodality Diagnostic Imaging in Unilateral Acute Idiopathic Maculopathy. Arch Ophthalmol. 2012 Jan; 130 (1): 50.
[13]	Srour M, Querques G, Rostaqui O, Souied E. Early spectral-domain optical coherence tomography findings in unilateral acute idiopathic maculopathy. Retina Phila Pa [Internet]. 2013 Dec [cited 2022 Dec 28]; 33 (10). Available from: https://pubmed.cesproxy.elogim.com/23714859/
[14]	Hashimoto Y, Saito W, Saito M, Hirooka K, Mori S, Noda K, et al. Increased choroidal blood flow velocity with regression of unilateral acute idiopathic maculopathy. Jpn J Ophthalmol. 2015 Jul 1; 59 (4): 252–60.
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APA Style

Juan Gonzalo Sanchez, Milagros Guerra, Maria Carolina Sardi, Maria Adelaida Piedrahita, Claudia Patricia Acosta. (2023). Unilateral Acute Idiopathic Maculopathy Follow up by Optical Coherence Tomography Angiography a Case Report. International Journal of Ophthalmology & Visual Science, 8(1), 1-4. https://doi.org/10.11648/j.ijovs.20230801.11

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ACS Style

Juan Gonzalo Sanchez; Milagros Guerra; Maria Carolina Sardi; Maria Adelaida Piedrahita; Claudia Patricia Acosta. Unilateral Acute Idiopathic Maculopathy Follow up by Optical Coherence Tomography Angiography a Case Report. Int. J. Ophthalmol. Vis. Sci. 2023, 8(1), 1-4. doi: 10.11648/j.ijovs.20230801.11

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AMA Style

Juan Gonzalo Sanchez, Milagros Guerra, Maria Carolina Sardi, Maria Adelaida Piedrahita, Claudia Patricia Acosta. Unilateral Acute Idiopathic Maculopathy Follow up by Optical Coherence Tomography Angiography a Case Report. Int J Ophthalmol Vis Sci. 2023;8(1):1-4. doi: 10.11648/j.ijovs.20230801.11

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@article{10.11648/j.ijovs.20230801.11,
  author = {Juan Gonzalo Sanchez and Milagros Guerra and Maria Carolina Sardi and Maria Adelaida Piedrahita and Claudia Patricia Acosta},
  title = {Unilateral Acute Idiopathic Maculopathy Follow up by Optical Coherence Tomography Angiography a Case Report},
  journal = {International Journal of Ophthalmology & Visual Science},
  volume = {8},
  number = {1},
  pages = {1-4},
  doi = {10.11648/j.ijovs.20230801.11},
  url = {https://doi.org/10.11648/j.ijovs.20230801.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijovs.20230801.11},
  abstract = {Background: It is described as a unilateral acute idiopathic maculopathy (UAIM) case, including spectral domain optical coherence tomography angiography (SD-OCTA) features and follow-up. Case information: the 24-week follow-up description by SD-OCTA of a 39-year-old woman with an episode of UAIM. SD-OCT showed at the beginning an upper yuxtafoveal diffuse hyperreflectivity of the outer nuclear layer (ONL), associated with a slight underlying serous detachment, and a choroidal thickness increase was observed too. Results: In SD-OCTA, a dark pattern was observed at the level of the choriocapillaris, with a progressive decrease in the size of this area with an almost complete resolution of the dark pattern during image follow-up a few weeks later. Conclusions: In the follow-up with SD-OCTA of a Unilateral Acute Idiopathic Maculopathy case, an impairment of the choriocapillaris was demonstrated that affected the outer retina with the spontaneous recovery of both. SD-OCTA can be a helpful tool to evaluate the recovery of choroidal flow for a longer time, knowing that the resolution of the changes evidenced at the choriocapillaris occurs more slowly, and complement the evaluation of these patients, with other tools that allow to accurately measure the choroidal blood flow to determine the etiology of this disease that remains controversial finally.},
 year = {2023}
}

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TY  - JOUR
T1  - Unilateral Acute Idiopathic Maculopathy Follow up by Optical Coherence Tomography Angiography a Case Report
AU  - Juan Gonzalo Sanchez
AU  - Milagros Guerra
AU  - Maria Carolina Sardi
AU  - Maria Adelaida Piedrahita
AU  - Claudia Patricia Acosta
Y1  - 2023/01/17
PY  - 2023
N1  - https://doi.org/10.11648/j.ijovs.20230801.11
DO  - 10.11648/j.ijovs.20230801.11
T2  - International Journal of Ophthalmology & Visual Science
JF  - International Journal of Ophthalmology & Visual Science
JO  - International Journal of Ophthalmology & Visual Science
SP  - 1
EP  - 4
PB  - Science Publishing Group
SN  - 2637-3858
UR  - https://doi.org/10.11648/j.ijovs.20230801.11
AB  - Background: It is described as a unilateral acute idiopathic maculopathy (UAIM) case, including spectral domain optical coherence tomography angiography (SD-OCTA) features and follow-up. Case information: the 24-week follow-up description by SD-OCTA of a 39-year-old woman with an episode of UAIM. SD-OCT showed at the beginning an upper yuxtafoveal diffuse hyperreflectivity of the outer nuclear layer (ONL), associated with a slight underlying serous detachment, and a choroidal thickness increase was observed too. Results: In SD-OCTA, a dark pattern was observed at the level of the choriocapillaris, with a progressive decrease in the size of this area with an almost complete resolution of the dark pattern during image follow-up a few weeks later. Conclusions: In the follow-up with SD-OCTA of a Unilateral Acute Idiopathic Maculopathy case, an impairment of the choriocapillaris was demonstrated that affected the outer retina with the spontaneous recovery of both. SD-OCTA can be a helpful tool to evaluate the recovery of choroidal flow for a longer time, knowing that the resolution of the changes evidenced at the choriocapillaris occurs more slowly, and complement the evaluation of these patients, with other tools that allow to accurately measure the choroidal blood flow to determine the etiology of this disease that remains controversial finally.
VL  - 8
IS  - 1
ER  -

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Author Information

Juan Gonzalo Sanchez

National Institute of Research in Ophthalmology, Medellin, Colombia
Milagros Guerra

National Institute of Research in Ophthalmology, Medellin, Colombia
Maria Carolina Sardi

National Institute of Research in Ophthalmology, Medellin, Colombia
Maria Adelaida Piedrahita

Faculty of Medicine, CES University, Medellín, Colombia
Claudia Patricia Acosta

National Institute of Research in Ophthalmology, Medellin, Colombia

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APA Style

Juan Gonzalo Sanchez, Milagros Guerra, Maria Carolina Sardi, Maria Adelaida Piedrahita, Claudia Patricia Acosta. (2023). Unilateral Acute Idiopathic Maculopathy Follow up by Optical Coherence Tomography Angiography a Case Report. International Journal of Ophthalmology & Visual Science, 8(1), 1-4. https://doi.org/10.11648/j.ijovs.20230801.11

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ACS Style

Juan Gonzalo Sanchez; Milagros Guerra; Maria Carolina Sardi; Maria Adelaida Piedrahita; Claudia Patricia Acosta. Unilateral Acute Idiopathic Maculopathy Follow up by Optical Coherence Tomography Angiography a Case Report. Int. J. Ophthalmol. Vis. Sci. 2023, 8(1), 1-4. doi: 10.11648/j.ijovs.20230801.11

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AMA Style

Juan Gonzalo Sanchez, Milagros Guerra, Maria Carolina Sardi, Maria Adelaida Piedrahita, Claudia Patricia Acosta. Unilateral Acute Idiopathic Maculopathy Follow up by Optical Coherence Tomography Angiography a Case Report. Int J Ophthalmol Vis Sci. 2023;8(1):1-4. doi: 10.11648/j.ijovs.20230801.11

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@article{10.11648/j.ijovs.20230801.11,
  author = {Juan Gonzalo Sanchez and Milagros Guerra and Maria Carolina Sardi and Maria Adelaida Piedrahita and Claudia Patricia Acosta},
  title = {Unilateral Acute Idiopathic Maculopathy Follow up by Optical Coherence Tomography Angiography a Case Report},
  journal = {International Journal of Ophthalmology & Visual Science},
  volume = {8},
  number = {1},
  pages = {1-4},
  doi = {10.11648/j.ijovs.20230801.11},
  url = {https://doi.org/10.11648/j.ijovs.20230801.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijovs.20230801.11},
  abstract = {Background: It is described as a unilateral acute idiopathic maculopathy (UAIM) case, including spectral domain optical coherence tomography angiography (SD-OCTA) features and follow-up. Case information: the 24-week follow-up description by SD-OCTA of a 39-year-old woman with an episode of UAIM. SD-OCT showed at the beginning an upper yuxtafoveal diffuse hyperreflectivity of the outer nuclear layer (ONL), associated with a slight underlying serous detachment, and a choroidal thickness increase was observed too. Results: In SD-OCTA, a dark pattern was observed at the level of the choriocapillaris, with a progressive decrease in the size of this area with an almost complete resolution of the dark pattern during image follow-up a few weeks later. Conclusions: In the follow-up with SD-OCTA of a Unilateral Acute Idiopathic Maculopathy case, an impairment of the choriocapillaris was demonstrated that affected the outer retina with the spontaneous recovery of both. SD-OCTA can be a helpful tool to evaluate the recovery of choroidal flow for a longer time, knowing that the resolution of the changes evidenced at the choriocapillaris occurs more slowly, and complement the evaluation of these patients, with other tools that allow to accurately measure the choroidal blood flow to determine the etiology of this disease that remains controversial finally.},
 year = {2023}
}

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TY  - JOUR
T1  - Unilateral Acute Idiopathic Maculopathy Follow up by Optical Coherence Tomography Angiography a Case Report
AU  - Juan Gonzalo Sanchez
AU  - Milagros Guerra
AU  - Maria Carolina Sardi
AU  - Maria Adelaida Piedrahita
AU  - Claudia Patricia Acosta
Y1  - 2023/01/17
PY  - 2023
N1  - https://doi.org/10.11648/j.ijovs.20230801.11
DO  - 10.11648/j.ijovs.20230801.11
T2  - International Journal of Ophthalmology & Visual Science
JF  - International Journal of Ophthalmology & Visual Science
JO  - International Journal of Ophthalmology & Visual Science
SP  - 1
EP  - 4
PB  - Science Publishing Group
SN  - 2637-3858
UR  - https://doi.org/10.11648/j.ijovs.20230801.11
AB  - Background: It is described as a unilateral acute idiopathic maculopathy (UAIM) case, including spectral domain optical coherence tomography angiography (SD-OCTA) features and follow-up. Case information: the 24-week follow-up description by SD-OCTA of a 39-year-old woman with an episode of UAIM. SD-OCT showed at the beginning an upper yuxtafoveal diffuse hyperreflectivity of the outer nuclear layer (ONL), associated with a slight underlying serous detachment, and a choroidal thickness increase was observed too. Results: In SD-OCTA, a dark pattern was observed at the level of the choriocapillaris, with a progressive decrease in the size of this area with an almost complete resolution of the dark pattern during image follow-up a few weeks later. Conclusions: In the follow-up with SD-OCTA of a Unilateral Acute Idiopathic Maculopathy case, an impairment of the choriocapillaris was demonstrated that affected the outer retina with the spontaneous recovery of both. SD-OCTA can be a helpful tool to evaluate the recovery of choroidal flow for a longer time, knowing that the resolution of the changes evidenced at the choriocapillaris occurs more slowly, and complement the evaluation of these patients, with other tools that allow to accurately measure the choroidal blood flow to determine the etiology of this disease that remains controversial finally.
VL  - 8
IS  - 1
ER  -

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