MULTIMODAL IMAGING OF UNILATERAL ACUTE IDIOPATHIC MACULOPATHY IN A CHILD PATIENT

Purpose: To report a case of the clinical manifestation of unilateral acute idiopathic maculopathy in a child patient. Methods: Case report. Results: An 11-year-old male patient complaining of visual impairment in the left eye that had persisted for 3 weeks was admitted to the Dicle University Ophthalmology Clinic. Fundus examination, optical coherence tomography (OCT), enhanced depth imaging OCT, fundus autofluorescence, and fundus fluorescence angiography examinations were conducted. During the fundus examination, a yellowish gray area of swelling with yellowish granules spanning approximately half the diameter of the disk was found on the left macula. Optical coherence tomography revealed serous detachment and hyperreflective debris, OCT angiography showed hyperreflective spots on the outer retina, enhanced depth imaging OCT revealed an increase in choroidal thickness, fundus autofluorescence showed hyperreflective spots, and fundus fluorescence angiography revealed late-phase hyperfluorescence accumulation. Acute idiopathic maculopathy was diagnosed from these findings. Conclusion: Acute idiopathic maculopathy should be considered in the differential diagnosis of children presenting with a complaint of unilateral low vision.