Use of multimodal analysis in the diagnosis and follow-up of a case of Acute Zonal Occult Outer Retinopathy (AZOOR)

Arch Soc Esp Oftalmol (Engl Ed). 2021 Dec;96(12):658-662. doi: 10.1016/j.oftale.2020.10.011. Epub 2021 Jul 21.

Abstract

A clinical case is presented in order to show the usefulness of multimodal analysis in the diagnosis and monitoring of patients with Acute Zonal Occult Outer Retinopathy (AZOOR). A 22 year-old patient was seen in the emergency department complaining of photopsia and paracentral scotoma of the left eye. Several structural and functional tests were performed and the patient was diagnosed with AZOOR. The evolution of the case was towards an initial structural worsening, followed by the almost complete resolution of the lesions identified in the different tests carried out, with an obvious symptomatic improvement. Multimodal analysis of AZOOR cases allows a fairly accurate diagnosis of this condition, and its differentiation from others with a similar appearance, such as multiple white point syndromes, or multifocal choroiditis.

Keywords: AZOOR; Análisis multimodal; Fundus image; Imagen de fondo; Multimodal analysis; OCT; Patrón trizonal; Trizonal pattern.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Follow-Up Studies
  • Humans
  • Multifocal Choroiditis
  • Scotoma* / diagnosis
  • White Dot Syndromes*
  • Young Adult

Supplementary concepts

  • Acute zonal occult outer retinopathy