First Author: A.Pastor Vivas SPAIN
Co Author(s): F. Garcia Franco Zuniga
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Acute zonal occult outer retinopathy (AZOOR) is a poorly-understood retinal disease characterized by sudden onset of photopsias (flashing lights) and visual field changes in an individual with a normal retinal exam.
This disease affects women three times more frequently than men and most people affected are Caucasian, middle-aged, and myopic
We report the case of a 33 years old woman, referred to ophthalmology from neurology to study the vision of moving and persistent lights in her temporal hemifield from a year ago. The patient did not associate any other symptoms. All neurological examination performed, including tests brain image, were normal.
Her visual acuity from baseline was 1.0 in both eyes, and exploration of the anterior segment, fundus, tomography optical coherence and angiography images, showed no pathological findings. The campimetries were not reliable because the patient was not able to distinguish between light stimuli and phosphenes. The electrophysiological tests performed showed a multifocal electroretinogram amplitude decreased in the paracentral registers in the right eye, the left eye was normal.
With all the drill results, we diagnosed a acute zonal occult outer retinopathy, advising the patient to stop smoking and holding periodic reviews.