Progressive Enlarging Blind Spot in a Young Asian Lady: A Case Report on Acute Zonal Occult Outer Retinopathy

Alvin Oliver Payus, and Ang, Wen Jeat and Liew, Sat Lin and Malehah Mohd Noh, (2020) Progressive Enlarging Blind Spot in a Young Asian Lady: A Case Report on Acute Zonal Occult Outer Retinopathy. Gazi Medical Journal, 31. pp. 66-68.

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Abstract

Acute Zonal Occult Outer Retinopathy (AZOOR) is a very rare retinal disease that predominantly affect the Caucasians. It is usually present in a young myopic woman with an acute onset of photopsia and enlarging blind spots. Here, we report a young Asian lady who presented with a typical presentation of AZOOR and later confirmed by electrophysiological test of the retina. She was wrongly diagnosed as retrobulbar optic neuritis due to low index of suspicion for AZOOR among the treating physicians in the hospital. Fortunately, she responded to systemic corticosteroid that was given as a treatment of optic neuritis. AZOOR was only diagnosed later by a visiting European neuro-ophthalmologist in a neighboring country. The objective of this case report is to remind the reader that the condition exists in Asian population and should be kept as a differential diagnosis in a young lady who presented with progressive visual field defect.

Item Type: Article
Uncontrolled Keywords: Acute Zonal Occult Outer Retinopathy, Enlarging blind spots, Optic neuritis, systemic corticosteroid
Subjects: R Medicine > R Medicine (General)
R Medicine > RE Ophthalmology
Divisions: FACULTY > Faculty of Medicine and Health Sciences
Depositing User: MDM SITI AZIZAH IDRIS
Date Deposited: 20 Feb 2020 03:08
Last Modified: 16 Apr 2020 15:01
URI: http://eprints.ums.edu.my/id/eprint/24983

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