Back ground: Acute zonal occult outer retinopathy (AZOOR) is characterized by acute loss of one or more zones of outer retinal function, minimal funduscopic changes, and abnormal electroretinography (ERG). Recently optical coherence tomography (OCT) showed a loss or irregularity of inner segment-outer segment (IS/OS) junction of photoreceptors corresponded to the scotomas in AZOOR patients. Case report : 46-year-old woman presented temporal visual field defect in her right eye. But she had no funduscopic abnormalities in her right eye. Goldman perimetry showed blind spot enlargement and multifocal ERG findings showed markedly decreased amplitudes corresponded to the blind spots. Her spectral domain OCT showed a loss of the IS/OS junction in the area corresponded to the scotomas. After six months, OCT showed a markedly restoration of the IS/OS junction, but she had no change in the ERG findings and Goldman perimetry. Conclusion : Our patient showed early restoration of the IS /OS junction defect, which was not associated with functional recovery. Further observation is needed.
|Folia Japonica de Ophthalmologica Clinica
|出版済み - 08-2009
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