Acute retinal pigment epitheliitis.

Abstract

To report a patient with acute retinal pigment epitheliitis examined less than 24 hours after onset of symptoms. One day after the onset of blurred vision in her left eye, a 33-year-old woman had a best-corrected visual acuity of LE, 20/60 -2. The left eye had classic uniform golden-colored nodules in a honeycomb pattern in the foveal retinal pigment epithelium. Intravenous fundus fluorescein angiography disclosed staining of the foveal pigment epithelium. One month after initial examination, visual acuity was LE, 20/20, and fine subfoveal pigmentary clumping was present. The pigmentary maculopathy of acute retinal pigment epitheliitis may be nonspecific, resulting from more than one type of primary foveal inflammation.