Acute retinal pigment epitheliitis.

Abstract

We examined a patient with acute retinal pigment epitheliitis before the development of the characteristic pigmentary retinopathy. Three days after onset of blurred vision in her left eye, a 25-year-old woman had a visual acuity of L.E.: 20/40 -2. There were uniform outer retinal golden-colored vacuoles in the area of subsequent foveal pigmentary alterations. Two months after examination, visual acuity was L.E.: 20/25 -2, and fine subfoveal pigmentary clumping was present. The pigmentary maculopathy of acute retinal pigment epitheliitis may be secondary to primary inflammation of the neurosensory retina.