Acute Zonal Occult Outer Retinopathy - AZOOR - Pseudoretinitis Pigmentosa
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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.
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)vista 2295 veces65-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
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)vista 1246 veces65-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
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)vista 1633 veces65-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
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)vista 1107 veces65-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
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)vista 1162 veces65-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
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)vista 928 veces65-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
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)vista 1202 veces65-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
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)vista 727 veces65-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
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)vista 588 veces65-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
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)vista 951 veces65-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
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)vista 588 veces65-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
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)vista 644 veces65-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
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)vista 685 veces65-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
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)vista 853 veces65-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
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Normal Fellow Eyevista 626 veces65-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
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Normal Fellow Eyevista 534 veces65-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 votos)
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Normal Fellow Eyevista 649 veces65-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 votos)
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Normal Fellow Eyevista 532 veces65-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 votos)
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Normal Fellow Eyevista 677 veces65-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 votos)
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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.
