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

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

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 e...

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Bibliographic Details
Published in:Archivos de la Sociedad Española de Oftalmología (English ed.) 2021-12, Vol.96 (12), p.658-662
Main Authors: Félix-Espinar, B., Moreno-López, M.
Format: Article
Language:eng
Subjects:
Análisis multimodal
AZOOR
Fundus image
Imagen de fondo
Multimodal analysis
OCT
Patrón trizonal
Trizonal pattern
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Summary: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. Con el objetivo de mostrar la utilidad del análisis multimodal en el diagnóstico y seguimiento de los pacientes con AZOOR, presentamos este caso clínico. Se trata de una paciente de 22 años que acudió a urgencias por fotopsias y escotoma paracentral por ojo izquierdo y que fue diagnosticada de AZOOR mediante la realización de diversas pruebas funcionales y estructurales. La evolución del caso fue hacia un empeoramiento estructural inicial seguido de la resolución casi completa de las lesiones objetivadas en las distintas pruebas realizadas con una mejoría sintomática evidente. El análisis multimodal de los casos de AZOOR permite un diagnóstico bastante preciso de esta patología y su diferenciación de otras de aspecto similar como los síndromes de múltiples puntos blancos o la coroiditis multifocal.
ISSN:2173-5794
2173-5794