Acute Zonal Occult Outer Retinopathy - AZOOR - Pseudoretinitis Pigmentosa
|
|
65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. Her vision is stable and she doesn’t notice the floaters as much as she did previously when I saw her five years ago.
VISUAL ACUITY: OD 20/25, OS 20/25. IOP: OD 13, OS 15.
SLIT EXAMINATION: There is 1+ nuclear sclerosis in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.3. There is pseudoretinitis pigmentosa extending inferior off the nerve and then into the temporal periphery, but sparing the macula. There is also 2+ asteroid hyalosis.
OS: Vertical C/D ratio is 0.2. There is no posterior vitreous separation and the macula and periphery look healthy.
Photos confirm clinical findings.
IMPRESSION:
1. ACUTE ZONAL OCCULT OUTER RETINOPATHY – RIGHT EYE
DISCUSSION: I explained to the patient the areas of pseudoretinitis pigmentosa are unchanged. This is in all likelihood from an acute zonal occult outer retinopathy. It is remotely possible this could have been from an optic nerve to retinal detachment, but I don’t see any optic nerve pit present at the moment. Sometimes they will close and the area can sometimes look more normal over time. The reason I say that is because the pit pseudoretinitis pigmentosa does connect to the optic nerve in a way that looks like you would see something dependant from gravity, although most optic nerve detachments seem to involve the macula.
|
Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)2417 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
(0 votes)
|
|
Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)1675 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
(0 votes)
|
|
Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)1366 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
(1 votes)
|
|
Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)1727 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
(0 votes)
|
|
Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)1194 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
(0 votes)
|
|
Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)1234 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
(0 votes)
|
|
Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)984 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
(0 votes)
|
|
Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)1259 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
(0 votes)
|
|
Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)811 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
(0 votes)
|
|
Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)781 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
(0 votes)
|
|
Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)636 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
(0 votes)
|
|
Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)1013 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
(0 votes)
|
|
Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)716 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
(0 votes)
|
|
Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)656 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
(0 votes)
|
|
Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)697 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
(0 votes)
|
|
Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)753 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
(0 votes)
|
|
Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)904 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
(0 votes)
|
|
Normal Fellow Eye666 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
(0 votes)
|
|
Normal Fellow Eye581 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
(0 votes)
|
|
Normal Fellow Eye692 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
(0 votes)
|
|
Normal Fellow Eye594 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
(0 votes)
|
|
Normal Fellow Eye736 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
(0 votes)
|
|
|
|
|
|
65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. Her vision is stable and she doesn’t notice the floaters as much as she did previously when I saw her five years ago.
VISUAL ACUITY: OD 20/25, OS 20/25. IOP: OD 13, OS 15.
SLIT EXAMINATION: There is 1+ nuclear sclerosis in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.3. There is pseudoretinitis pigmentosa extending inferior off the nerve and then into the temporal periphery, but sparing the macula. There is also 2+ asteroid hyalosis.
OS: Vertical C/D ratio is 0.2. There is no posterior vitreous separation and the macula and periphery look healthy.
Photos confirm clinical findings.
IMPRESSION:
1. ACUTE ZONAL OCCULT OUTER RETINOPATHY – RIGHT EYE
DISCUSSION: I explained to the patient the areas of pseudoretinitis pigmentosa are unchanged. This is in all likelihood from an acute zonal occult outer retinopathy. It is remotely possible this could have been from an optic nerve to retinal detachment, but I don’t see any optic nerve pit present at the moment. Sometimes they will close and the area can sometimes look more normal over time. The reason I say that is because the pit pseudoretinitis pigmentosa does connect to the optic nerve in a way that looks like you would see something dependant from gravity, although most optic nerve detachments seem to involve the macula.
