Acute Zonal Occult Outer Retinopathy – a Case with Rapid Return of Visual Functions in Type 3 Disease
Authors:
M. Alexík 1; H. Miková 2
Authors‘ workplace:
Očné oddelenie, Fakultná nemocnica s poliklinikou Žilina
primár MUDr. Michal Štubňa, PhD.
1; Očné oddelenie Nemocnice sv. Michala, Bratislava
primárka MUDr. Katarína Hlaváčková, PhD.
2
Published in:
Čes. a slov. Oftal., 71, 2015, No. 2, p. 110-115
Category:
Case Report
Overview
Acute zonal occult outer retinopathy is noninfectious zonal dysfunction of outer retina often adjacent to optic nerve. It is accompanied by temporary disappearance of retinal fotoreceptor layer, visual acuity drop and late pigmentary fundus changes. Authors present a case report of a patient with unilateral involvement and spontaneous visual acuity resolution followed by quick reappearance of photoreceptor layer on OCT.
Key words:
AZOOR, photoreceptor cell layer, OCT, SLO
Sources
1. Fine HF., Spaide RF., Ryan, EH., et al.: Acute zonal occult outer retinopathy inpatients with multiple evanescent white dot syndrome. Arch Ophthalmol, 2009; 127(1): 66–70.
2. Gass, JD.: Acute zonal occult outer retinopathy. Donders Lecture: The Netherlands Ophthalmological Society, Maastricht, Holland, June 19, 1992. J Clin Neuroophthalmol, 1993; 13(2): 79–97.
3. Gass, JD., Agarwal, A. Scott, IU.: Acute zonal occult outer retinopathy: a long-term follow-up study. Am J Ophthalmol, 2002; 134(3): 329 –339.
4. Gass, JD.: Are acute zonal occult outer retinopathy and the white spot syndromes (AZOOR complex) specific autoimmune diseases? Am J Ophthalmol, 2003; 135(3): 380–1.
15. Heckenlively, JR., Ferreyra, HA.: Autoimmune retinopathy: a review andsummary. Semin Immunopathol, 2008; 30(2): 127–34.
16. Jacobson, SG., Morales, DS., Sun, XK., et al.: Pattern of retinal dysfunction in acute zonal occult outer retinopathy. Ophthalmology, 1995; 102(8): 1187–1198.
17. Jampol, LM., Becker, KG.: White spot syndromes of the retina: a hypothesis based on the common genetic hypothesis of autoimmune/inflammatory disease. Am J Ophthalmol, 2003; 135(3): 376 –379.
18. Mahajan, VB., Stone, EM.: Patients with an acute zonal occult outer retinopathy-like illness rapidly improve with valacyclovir treatment. Am J Ophthalmol, 2010; 150(4): 511–8.
19. McCollum, CJ., Kimble, JA.: Peripapillary subretinal neovascularization associated with multiple evanescent white-dot syndrome. Arch Ophthalmol, 1992;110(1): 13–4.
20. Mkrtchyan, M. et al: Outer retinal structure in patients with acute zonal occult outer retinopathy. Am J Ophthalmol, 2012 Apr;153(4):757-68, 768.e1.
21. Reichenbach, A., Bringmann, A.: Müller cells in the healthy and diseased retina. New York: Springer, 2010.
22. Říhová, E. et al.: Uveitidy, Praha, Grada Publishing, 2009, 66 s.
23. Spaide, RF.: Collateral damage in acute zonal occult outer retinopathy. Am J Ophthalmol, 2004; 138(5): 887–9.
24. Zweifel, SA., Kim, E., Bailey Freund, K.: Simultaneous presentation of multifocal choroiditis and acute zonal occult outer retinopathy in one eye. Br J Ophthalmol, 2011; 95(2): 288–97.
Labels
OphthalmologyArticle was published in
Czech and Slovak Ophthalmology
2015 Issue 2
Most read in this issue
- STORY of the Papilla - a Case Report
- Clinical Results after Continuous Corneal ring (MyoRing) Implantation in Keratoconus Patients
- Acute Zonal Occult Outer Retinopathy – a Case with Rapid Return of Visual Functions in Type 3 Disease
- Aflibercept in Clinical Practice