Acute retinal pigment epitheliopathies

A 50-year-old white woman had bilateral visual loss associated with fever, chills, and myalgias. Her systemic complaints responded to steroid therapy but visual reductions and retinal lesions have persisted for one year. Fluorescein angiographic findings are identical to those seen in acute retinal pigment epitheliitis but the clinical history is more suggestive of acute macular neuroretinopathy. These two entities may represent different clinical expressions of the same disease.