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Research Letter |

Spectral-Domain Optical Coherence Tomographic Appearance of Acute Multifocal Retinitis

Yen Harn Yew, MD1; Visvaraja Subrayan, FRCOphth, FRCS(Edin)1
[+] Author Affiliations
1Department of Ophthalmology, University Malaya Medical Center, Kuala Lumpur, Malaysia
JAMA Ophthalmol. 2013;131(8):1097-1099. doi:10.1001/jamaophthalmol.2013.2489.
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Acute multifocal retinitis, previously termed acute multifocal inner retinitis by Foster et al1 in 1991, is a very rare presentation of multiple transient, self-limiting posterior uveitis involving the superficial inner aspect of the retinal layer. Very few cases pertaining to this condition have been reported in the literature.14 It typically affects both eyes of healthy, immunocompetent individuals having previously experienced flulike viral prodrome that subsequently resolves over weeks to months, with the patient regaining normal vision. Although it is idiopathic, some have regarded it as an unusual manifestation of ocular bartonellosis (cat-scratch disease) or a variant of ocular syphilis.5,6 We report a case of a rare uveitis entity with its spectral-domain optical coherence tomographic (SD-OCT) appearance to highlight its pathological feature.

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Figures

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Figure 1.
Fundus Photograph of the Left Eye

Fundus photograph of the left eye with 5 foci of retinitis.

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Figure 2.
Fundus Photograph of the Right Eye

Fundus photograph of the right eye with 2 foci of retinitis along the superior temporal vessels arcade.

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Figure 3.
Spectral-Domain Optical Coherence Tomographic Scan

Spectral-domain optical coherence tomographic scan of the largest retinitis spot in the left eye. I indicates inferior; N, nasal; S, superior; and T, temporal.

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Figure 4.
Fundus Photograph of the Left Eye

Fundus photograph of the left eye 6 weeks after the onset of the floaters.

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Figure 5.
Fundus Photograph of the Left Eye

Fundus photograph of the left eye 6 months after the onset of the floaters.

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Figure 6.
Spectral-Domain Optical Coherence Tomographic Scan

Spectral-domain optical coherence tomographic scan of the left eye at the 6-month follow-up showing complete resolution of the retinitis. I indicates inferior; N, nasal; S, superior; and T, temporal.

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