Presentation
The course of AZOOR, its clinical presentations, hypothesis of etiology, differential diagnosis, workup, management, and prognosis are reviewed. [ncbi.nlm.nih.gov]
Nakao et al [15] present a case of a 31 year old male diagnosed with AZOOR. He received no treatment and after two months presented spontaneous remission. [eyewiki.aao.org]
Main OUTCOME MEASURES: Clinical presentation, best-corrected visual acuity (BCVA), fundus abnormalities, visual field defects, ffERG changes, and presence of antiretinal antibodies. [experts.umich.edu]
Eyes
- Retinal Pigmentation
Indocyanine green angiography showed atrophy of the choriocapillaris underlying areas of atrophy of the retinal pigment epithelium. [ncbi.nlm.nih.gov]
Psychiatrical
- Suggestibility
CONCLUSION: Evidence suggests that AZOOR is a unique form of autoimmune retinopathy and retinal manifestation suggests possible antiretinal antibody leakage from the disc margin with spread of immune products under the retina, resulting in large scotomata [ncbi.nlm.nih.gov]
Conclusion Evidence suggests that AZOOR is a unique form of autoimmune retinopathy and retinal manifestation suggests possible antiretinal antibody leakage from the disc margin with spread of immune products under the retina, resulting in large scotomata [experts.umich.edu]
- Loss of Initiative
In all patients vision loss was initially progressive, then stable. Symptoms were unilateral in 2 and bilateral but asymmetric in 2 patients. In each patient, loss of retinal function correlated with structural changes in the outer retina. [ncbi.nlm.nih.gov]
Workup
The course of AZOOR, its clinical presentations, hypothesis of etiology, differential diagnosis, workup, management, and prognosis are reviewed. [ncbi.nlm.nih.gov]
With further study, "we may be able to suggest specific systemic autoimmune workups in the future for these patients," they wrote. Dr. [medpagetoday.com]
Other Test Results
- Electroretinogram Abnormal
Multimodal imaging, field defects, electroretinogram abnormalities, and spectral domain optical coherence tomography changes were all suggestive of acute zonal occult outer retinopathy. [ncbi.nlm.nih.gov]
Other Pathologies
- White Matter Lesions
While AZOOR previously has been linked to MS and demyelinating white matter lesions in the brain, our case seems unique due to concurrent development of AZOOR and retrobulbar optic neuritis as a CIS. [ncbi.nlm.nih.gov]
Treatment
Patients remained stable without treatment during a follow-up period ranging from 1 to 3 years. [ncbi.nlm.nih.gov]
Our present case showed improved visual function without recurrence in the natural course and indicated that visual function could be improved without any treatment in some patients with AZOOR. [jstage.jst.go.jp]
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Prognosis
The course of AZOOR, its clinical presentations, hypothesis of etiology, differential diagnosis, workup, management, and prognosis are reviewed. [ncbi.nlm.nih.gov]
Prognosis Due to the rarity and insufficient documented long term cases of AZOOR, it is difficult to characterize the progression and prognosis of this disease. [eyewiki.aao.org]
Apparently, AZOOR progression is variable [ 12 ], and reports of patients with good visual outcomes improving spontaneously [ 8, 13, 15, 16 ] or showing poor visual prognosis [ 14, 17 ] have been described. [journals.plos.org]
Etiology
Acute zonal occult outer retinopathy (AZOOR) is a disorder of unknown etiology with a predilection for young women. [ncbi.nlm.nih.gov]
Conclusion: In addition to classic diagnostic modalities, photoreceptor attenuation observed with Cirrus SD-OCT can contribute to the diagnosis of acute zonal occult outer retinopathy and may help elucidate the etiology of this puzzling condition. [scholars.northwestern.edu]
Epidemiology
Diagnosis: Acute Zonal Occult Outer Retinopathy (AZOOR) and Acute Idiopathic Blind Spot Enlargement Syndrome (AIBSE) EPIDEMIOLOGY young women (30s) incidence unknown etiology: unknown SIGNS Normal Exam (33%) RPE changes (26%) Optic disc edema (20%) Grayish [webeye.ophth.uiowa.edu]
Epidemiology There has been a predominance of Caucasians, but the disease has been seen in all ethnic groups. The majority of patients are young females in their mid-thirties. [2] [4] [5]. Pathogenesis Mechanism is unknown. [eyewiki.aao.org]
Pathophysiology
PURPOSE: To elucidate the pathophysiology of the diseases recently grouped under the name of acute zonal occult outer retinopathy (AZOOR). [ncbi.nlm.nih.gov]
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Prevention
Washington Avenue, Room 508, New York, NY 10032; e-mail: [email protected] Supported in part by grants from the National Eye Institute/National Institutes of Health EY024091, EY021163, and EY09076; Foundation Fighting Blindness; and a grant from Research to Prevent [journals.lww.com]
Related Links: ConclusionsOur study provides new insight into underlying mechanisms of DM, and we suggest that we should pay more attention to these metabolic pathways in the prevention and treatment of DM. [medworm.com]
The study was supported in part by an unrestricted grant from Research to Prevent Blindness, by the Macula Foundation, by a grant from the Macula Society, and by the National Institute on Aging. The researchers reported no conflicts of interest. [medpagetoday.com]