Acute zonal occult outer retinopathy-like presentation secondary to scleral buckle

Adrian T. Fung; Edward Lo-Cao; Elisa E. Cornish

American Journal of Ophthalmology Case Reports (Dec 2022)

Acute zonal occult outer retinopathy-like presentation secondary to scleral buckle

Adrian T. Fung,
Edward Lo-Cao,
Elisa E. Cornish

Affiliations

Adrian T. Fung: Westmead and Central Clinical Schools, Specialty of Ophthalmology and Eye Health, The University of Sydney, Sydney, Australia; Department of Ophthalmology, Westmead Hospital, Sydney, NSW, Australia; Department of Ophthalmology, Faculty of Medicine, Health and Human Sciences, Macquarie University Hospital, Sydney, Australia; Corresponding author. Department of Ophthalmology, Westmead Hospital, Corner of Hawkesbury and Darcy Roads, Westmead, NSW, 2145, Australia.
Edward Lo-Cao: Westmead and Central Clinical Schools, Specialty of Ophthalmology and Eye Health, The University of Sydney, Sydney, Australia; Department of Ophthalmology, Westmead Hospital, Sydney, NSW, Australia; Department of Ophthalmology, Sydney & Sydney Eye Hospital, Sydney, NSW, Australia
Elisa E. Cornish: Department of Ophthalmology, Westmead Hospital, Sydney, NSW, Australia; Department of Ophthalmology, Save Sight Institute, University of Sydney, Sydney, Australia; Department of Ophthalmology, Sydney & Sydney Eye Hospital, Sydney, NSW, Australia

Journal volume & issue: Vol. 28
p. 101716

Abstract

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Purpose: To describe a case of acute zonal occult outer retinopathy-like (AZOOR-like) presentation following scleral buckle surgery for rhegmatogenous retinal detachment. Observations: A 48-year-old man underwent successful scleral buckle with cryotherapy for repair of a left eye inferior macula-on rhegmatogenous retinal detachment. Five years later he presented with a six-month history of left peripheral field restriction. Fundus autofluorescence and optical coherence tomography demonstrated degeneration of the photoreceptors in a ring pattern around the left macula. Humphrey visual fields showed functional loss corelating with the imaging, with a paracentral ring scotoma. Electrophysiology demonstrated a delayed 30 Hz flicker latency in the left eye confirming cone system dysfunction. Conclusion and Importance: Scleral buckling surgery for repair of a rhegmatogenous retinal detachment may be associated with a late AZOOR-like presentation.

Published in American Journal of Ophthalmology Case Reports

ISSN: 2451-9936 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Ophthalmology
Website: http://www.journals.elsevier.com/american-journal-of-ophthalmology-case-reports/

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