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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 Woman1294 x angesehenInitial 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 Bewertungen)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman791 x angesehenInitial 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 Bewertungen)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman631 x angesehenInitial 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 Bewertungen)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman685 x angesehenInitial 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 Bewertungen)
Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman661 x angesehenInitial 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 Bewertungen)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman600 x angesehenInitial 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 Bewertungen)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman583 x angesehenInitial 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 Bewertungen)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman524 x angesehenInitial 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 Bewertungen)
Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman501 x angesehenInitial 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 Bewertungen)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman498 x angesehenInitial 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 Bewertungen)	Acute Annular Outer Retinopathy VA loss 2 days Right Eye Only - 25 Year Old Woman492 x angesehenInitial 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 Bewertungen)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman542 x angesehenInitial 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 Bewertungen)
Acute Annular Outer Retinopathy 605 x angesehenInitial 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 Bewertungen)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman539 x angesehenInitial 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 Bewertungen)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions729 x angesehenInitial 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 Bewertungen)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions1014 x angesehenInitial 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 Bewertungen)
Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions1216 x angesehenInitial 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 Bewertungen)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions734 x angesehenInitial 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 Bewertungen)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions904 x angesehenInitial 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 Bewertungen)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions673 x angesehenInitial 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 Bewertungen)
Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions714 x angesehenInitial 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 Bewertungen)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions557 x angesehenInitial 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 Bewertungen)	Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman - AZOOR - White Line Around Fresh Lesions583 x angesehenInitial 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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph466 x angesehen25-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 Bewertungen)
Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph634 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph424 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph433 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph392 x angesehen25-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 Bewertungen)
Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph388 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph384 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph397 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph386 x angesehen25-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 Bewertungen)
Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph435 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image408 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image385 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image400 x angesehen25-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 Bewertungen)
Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image525 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image409 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image379 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image403 x angesehen25-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 Bewertungen)
Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image363 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image374 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy536 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy427 x angesehen25-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 Bewertungen)
Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy367 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy388 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy398 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy394 x angesehen25-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 Bewertungen)
Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy436 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy426 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy392 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy393 x angesehen25-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 Bewertungen)
Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fluorescein Angiogram439 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fluorescein Angiogram409 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fluorescein Angiogram582 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female FA474 x angesehen25-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 Bewertungen)
Acute Annular Outer Retinopathy for 3 Months - 25 YO Female FA429 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female FA431 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female FA442 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Late FA377 x angesehen25-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 Bewertungen)
Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Early ICT397 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Late ICG478 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Red Free495 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Autofluorescence Affected Eye632 x angesehen25-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 Bewertungen)
Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fellow Normal Eye447 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fellow Normal Eye498 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fellow Normal Eye421 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fellow Normal Eye367 x angesehen25-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 Bewertungen)
Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fellow Normal Eye439 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fellow Normal Eye426 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fellow Normal Eye531 x angesehen25-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 Bewertungen)	Acute Annular Outer Retinopathy for 3 Months - 25 YO Female OCT Movie577 x angesehen25-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 Bewertungen)
Acute Annular Outer Retinopathy for 3 Months - 25 YO Female OCT Movie702 x angesehen25-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 Bewertungen)
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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.