Progressive Enlarging Blind Spot in a Young Asian Lady: A Case Report on Acute Zonal Occult Outer Retinopathy

Acute Zonal Occult Outer Retinopathy (AZOOR) is a very rare retinal disease that predominantly affect the Caucasians. It is usually present in a young myopic woman with an acute onset of photopsia and enlarging blind spots. Here, we report a young Asian lady who presented with a typical presentation...

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Main Authors: Alvin Oliver Payus, Ang, Wen Jeat, Liew, Sat Lin, Malehah Mohd Noh
Format: Article
Language:English
Published: 2020
Subjects:
Online Access:https://eprints.ums.edu.my/id/eprint/24983/7/Progressive%20Enlarging%20Blind%20Spot%20in%20a%20Young%20Asian%20Lady%20-%20A%20Case%20Report%20on%20Acute%20Zonal%20Occult%20Outer%20Retinopathy.pdf
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author Alvin Oliver Payus
Ang, Wen Jeat
Liew, Sat Lin
Malehah Mohd Noh
author_facet Alvin Oliver Payus
Ang, Wen Jeat
Liew, Sat Lin
Malehah Mohd Noh
author_sort Alvin Oliver Payus
collection UMS
description Acute Zonal Occult Outer Retinopathy (AZOOR) is a very rare retinal disease that predominantly affect the Caucasians. It is usually present in a young myopic woman with an acute onset of photopsia and enlarging blind spots. Here, we report a young Asian lady who presented with a typical presentation of AZOOR and later confirmed by electrophysiological test of the retina. She was wrongly diagnosed as retrobulbar optic neuritis due to low index of suspicion for AZOOR among the treating physicians in the hospital. Fortunately, she responded to systemic corticosteroid that was given as a treatment of optic neuritis. AZOOR was only diagnosed later by a visiting European neuro-ophthalmologist in a neighboring country. The objective of this case report is to remind the reader that the condition exists in Asian population and should be kept as a differential diagnosis in a young lady who presented with progressive visual field defect.
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spelling ums.eprints-249832020-04-16T15:01:30Z https://eprints.ums.edu.my/id/eprint/24983/ Progressive Enlarging Blind Spot in a Young Asian Lady: A Case Report on Acute Zonal Occult Outer Retinopathy Alvin Oliver Payus Ang, Wen Jeat Liew, Sat Lin Malehah Mohd Noh R Medicine (General) RE Ophthalmology Acute Zonal Occult Outer Retinopathy (AZOOR) is a very rare retinal disease that predominantly affect the Caucasians. It is usually present in a young myopic woman with an acute onset of photopsia and enlarging blind spots. Here, we report a young Asian lady who presented with a typical presentation of AZOOR and later confirmed by electrophysiological test of the retina. She was wrongly diagnosed as retrobulbar optic neuritis due to low index of suspicion for AZOOR among the treating physicians in the hospital. Fortunately, she responded to systemic corticosteroid that was given as a treatment of optic neuritis. AZOOR was only diagnosed later by a visiting European neuro-ophthalmologist in a neighboring country. The objective of this case report is to remind the reader that the condition exists in Asian population and should be kept as a differential diagnosis in a young lady who presented with progressive visual field defect. 2020 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/24983/7/Progressive%20Enlarging%20Blind%20Spot%20in%20a%20Young%20Asian%20Lady%20-%20A%20Case%20Report%20on%20Acute%20Zonal%20Occult%20Outer%20Retinopathy.pdf Alvin Oliver Payus and Ang, Wen Jeat and Liew, Sat Lin and Malehah Mohd Noh (2020) Progressive Enlarging Blind Spot in a Young Asian Lady: A Case Report on Acute Zonal Occult Outer Retinopathy. Gazi Medical Journal, 31. pp. 66-68. doi:http://dx.doi.org/10.12996/gmj.2020.18
spellingShingle R Medicine (General)
RE Ophthalmology
Alvin Oliver Payus
Ang, Wen Jeat
Liew, Sat Lin
Malehah Mohd Noh
Progressive Enlarging Blind Spot in a Young Asian Lady: A Case Report on Acute Zonal Occult Outer Retinopathy
title Progressive Enlarging Blind Spot in a Young Asian Lady: A Case Report on Acute Zonal Occult Outer Retinopathy
title_full Progressive Enlarging Blind Spot in a Young Asian Lady: A Case Report on Acute Zonal Occult Outer Retinopathy
title_fullStr Progressive Enlarging Blind Spot in a Young Asian Lady: A Case Report on Acute Zonal Occult Outer Retinopathy
title_full_unstemmed Progressive Enlarging Blind Spot in a Young Asian Lady: A Case Report on Acute Zonal Occult Outer Retinopathy
title_short Progressive Enlarging Blind Spot in a Young Asian Lady: A Case Report on Acute Zonal Occult Outer Retinopathy
title_sort progressive enlarging blind spot in a young asian lady a case report on acute zonal occult outer retinopathy
topic R Medicine (General)
RE Ophthalmology
url https://eprints.ums.edu.my/id/eprint/24983/7/Progressive%20Enlarging%20Blind%20Spot%20in%20a%20Young%20Asian%20Lady%20-%20A%20Case%20Report%20on%20Acute%20Zonal%20Occult%20Outer%20Retinopathy.pdf
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AT liewsatlin progressiveenlargingblindspotinayoungasianladyacasereportonacutezonaloccultouterretinopathy
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