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Initial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU. SEE INITIAL PHOTOS AND FA FU: 25-year-old woman was seen in the office on September 8, 2011. She about three months ago put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She sent out an MRI scan. She had testing done. It was thought at one point she might have MEWDS. She has not had any eye pain. She did have a little cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. She has had no rashes, no shortness of breath, no ulcers, and no health problems. She doesn’t feel sick. She hasn’t had a weight loss. She hasn’t had a weight gain. She does take birth control for the last three years. VISUAL ACUITY: OD 203/0, OS 20/20. IOP: 12 OU. Color vision is normal. SLIT EXAMINATION: Normal with clear lenses. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.0. There is no vitreous cells. The macula looks normal. There is pigment atrophy in the periphery. OS: Vertical C/D ratio is 0.0. There is no vitreous cells. The macula and periphery look healthy. The retinal vessels look normal. Photos confirm clinical findings. FUNDUS AUTO FLUORESCENCE: Shows some decreased fundus auto fluorescence in the periphery. The macula of the right eye there is minimal. The left eye fundus auto fluorescence was normal. SPECTRALIS-SD-OCT SCAN: The OCT scan of the right eye was normal in the very center of the fovea, but there was loss of the photoreceptors in the periphery of the macula and then we did some spot scans in the far periphery and there was some spots in the periphery, which do show up as areas of loss of the deep retinal layers. The left eye OCT scan was completely normal in the macula and the periphery. FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows irregular hyperfluorescence, which is only slight in the periphery of the right eye where there is pigment atrophy. There is no evidence of any leakage and there is no evidence of any retinal vasculitis. There is no staining of the retinal vessels nor is there staining of the optic nerve. The left eye fluorescein angiogram was completely normal. The indocyanine green angiogram shows no dark spots in either eye. It does show irregular hyperfluorescence corresponding to the pigment atrophy, which was present on the fluorescein angiogram. IMPRESSION: 1. PROBABLE ACUTE ZONAL OUTER RETINOPATHY (AZOOR IN THE RIGHT EYE) DISCUSSION: I explained to the patient the signs and symptoms were all consistent with AZOOR, which may have some recovery over time and generally is not at least progressive. There are a few blood tests which need to be checked to rule out any sort of systemic inflammatory syndrome or infection that might be an issue. I generally check for syphilis and sarcoid.

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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman520 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.

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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman335 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.

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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman189 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.

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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman201 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.

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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman165 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.

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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman191 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.

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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman162 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.

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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman144 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.

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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman134 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.

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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman100 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.

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Acute Annular Outer Retinopathy VA loss 2 days Right Eye Only - 25 Year Old Woman112 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.

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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman117 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.

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Acute Annular Outer Retinopathy 160 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.

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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman148 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.

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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions260 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.

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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions506 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.

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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions763 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.

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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions320 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.

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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions435 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.

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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions233 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.

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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions249 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.

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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions179 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.

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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman - AZOOR - White Line Around Fresh Lesions229 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.

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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph118 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph249 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph105 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph113 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph63 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph58 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph73 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph68 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph64 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph61 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image87 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image53 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image82 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image103 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image90 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image58 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image63 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image72 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image65 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy128 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy90 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy74 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy78 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy78 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy58 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy96 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy82 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy63 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy75 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fluorescein Angiogram84 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fluorescein Angiogram74 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fluorescein Angiogram166 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female FA92 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female FA81 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female FA90 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female FA76 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Late FA61 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Early ICT71 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Late ICG114 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Red Free116 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Autofluorescence Affected Eye166 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fellow Normal Eye91 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fellow Normal Eye124 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fellow Normal Eye104 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fellow Normal Eye68 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fellow Normal Eye66 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fellow Normal Eye71 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fellow Normal Eye202 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female OCT Movie234 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female OCT Movie304 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU00000
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Initial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU. SEE INITIAL PHOTOS AND FA FU: 25-year-old woman was seen in the office on September 8, 2011. She about three months ago put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She sent out an MRI scan. She had testing done. It was thought at one point she might have MEWDS. She has not had any eye pain. She did have a little cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. She has had no rashes, no shortness of breath, no ulcers, and no health problems. She doesn’t feel sick. She hasn’t had a weight loss. She hasn’t had a weight gain. She does take birth control for the last three years. VISUAL ACUITY: OD 203/0, OS 20/20. IOP: 12 OU. Color vision is normal. SLIT EXAMINATION: Normal with clear lenses. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.0. There is no vitreous cells. The macula looks normal. There is pigment atrophy in the periphery. OS: Vertical C/D ratio is 0.0. There is no vitreous cells. The macula and periphery look healthy. The retinal vessels look normal. Photos confirm clinical findings. FUNDUS AUTO FLUORESCENCE: Shows some decreased fundus auto fluorescence in the periphery. The macula of the right eye there is minimal. The left eye fundus auto fluorescence was normal. SPECTRALIS-SD-OCT SCAN: The OCT scan of the right eye was normal in the very center of the fovea, but there was loss of the photoreceptors in the periphery of the macula and then we did some spot scans in the far periphery and there was some spots in the periphery, which do show up as areas of loss of the deep retinal layers. The left eye OCT scan was completely normal in the macula and the periphery. FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows irregular hyperfluorescence, which is only slight in the periphery of the right eye where there is pigment atrophy. There is no evidence of any leakage and there is no evidence of any retinal vasculitis. There is no staining of the retinal vessels nor is there staining of the optic nerve. The left eye fluorescein angiogram was completely normal. The indocyanine green angiogram shows no dark spots in either eye. It does show irregular hyperfluorescence corresponding to the pigment atrophy, which was present on the fluorescein angiogram. IMPRESSION: 1. PROBABLE ACUTE ZONAL OUTER RETINOPATHY (AZOOR IN THE RIGHT EYE) DISCUSSION: I explained to the patient the signs and symptoms were all consistent with AZOOR, which may have some recovery over time and generally is not at least progressive. There are a few blood tests which need to be checked to rule out any sort of systemic inflammatory syndrome or infection that might be an issue. I generally check for syphilis and sarcoid.