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Acute Annular Outer Retinopathy 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.
Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman1500 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. (0 votes)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman968 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. (0 votes)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman734 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. (0 votes)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman789 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. (0 votes)
Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman762 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. (0 votes)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman742 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. (0 votes)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman709 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. (0 votes)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman651 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. (0 votes)
Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman608 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. (0 votes)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman613 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. (0 votes)	Acute Annular Outer Retinopathy VA loss 2 days Right Eye Only - 25 Year Old Woman591 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. (0 votes)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman648 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. (0 votes)
Acute Annular Outer Retinopathy 714 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. (0 votes)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman643 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. (0 votes)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions863 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. (0 votes)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions1178 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. (0 votes)
Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions1350 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. (0 votes)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions830 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. (0 votes)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions1077 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. (0 votes)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions862 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. (1 votes)
Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions871 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. (0 votes)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions676 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. (0 votes)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman - AZOOR - White Line Around Fresh Lesions709 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. (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph568 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 OU (0 votes)
Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph738 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph537 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph511 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph481 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 OU (0 votes)
Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph471 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph523 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph498 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph498 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 OU (0 votes)
Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph557 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image545 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image482 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image519 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 OU (0 votes)
Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image659 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image499 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image477 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image499 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 OU (0 votes)
Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image464 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image463 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy629 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy532 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 OU (0 votes)
Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy480 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy494 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy485 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy519 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 OU (0 votes)
Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy530 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy523 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy505 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy505 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 OU (0 votes)
Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fluorescein Angiogram557 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fluorescein Angiogram520 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fluorescein Angiogram713 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female FA582 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 OU (0 votes)
Acute Annular Outer Retinopathy for 3 Months - 25 YO Female FA530 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female FA545 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female FA551 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Late FA506 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 OU (0 votes)
Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Early ICT511 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Late ICG584 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Red Free637 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Autofluorescence Affected Eye778 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 OU (0 votes)
Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fellow Normal Eye547 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fellow Normal Eye597 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fellow Normal Eye561 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fellow Normal Eye523 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 OU (0 votes)
Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fellow Normal Eye550 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fellow Normal Eye519 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fellow Normal Eye630 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 OU (0 votes)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female OCT Movie666 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 OU (0 votes)
Acute Annular Outer Retinopathy for 3 Months - 25 YO Female OCT Movie827 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 OU (0 votes)
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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.