Unilateral acute idiopathic maculopathy (UAIM) is a recently described condition in young adults consisting of rapidly progressive central visual loss, gray-white opacification of the outer retina, and serous detachment of the macula. Bull's eye pattern pigmentary changes may occur in the macula after resolution of the acute phase of the disease. A case of UAIM in which a shifting of subretinal inflammatory infiltrate was observed is reported. This is the tenth reported case of UAIM, and represents a variation in the clinical presentation of this disease. The appearance and the shifting of the subretinal infiltrate seen in this patient support an inflammatory etiology of UAIM.
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