ACUTE RETINAL-PIGMENT EPITHELIITIS

PURPOSE: To report a patient with acute retinal pigment epitheliitis e xamined less than 24 hours after onset of symptoms, METHOD: One day af ter the onset of blurred vision in her left eye, a 33-year-old woman h ad a best-corrected visual acuity of LE, 20/60 -2. The left eye had cl assic uniform golden-colored nodules in a honeycomb pattern in the fov eal retinal pigment epithelium, Intravenous fundus fluorescein angiogr aphy disclosed staining of the foveal pigment epithelium. RESULTS: One month after initial examination, visual acuity was LE, 20/20, and fin e subfoveal pigmentary clumping was present, CONCLUSION: The pigmentar y maculopathy of acute retinal pigment epitheliitis may be nonspecific , resulting from more than one type of primary foveal inflammation.