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To describe the clinical course and the multimodal imaging of acute idiopathic maculopathy (AIM). Medical records and multimodal imaging including color fundus photography, optical coherence tomography (OCT) and fundus autofluorescence (FAF) were retrospectively reviewed. Recognition of the FAF patterns and their relationship with the disease duration, best-corrected visual acuity (BCVA) and OCT features represented the main outcome measures. Seventeen eyes of 16 patients (7 females; mean age 29.9 years) with a mean follow-up of 23.9 mo