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Case Reports in Medicine
Volume 2014 (2014), Article ID 290696, 7 pages
Case Report

Acute Zonal Occult Outer Retinopathy with Atypical Findings

1Ophthalmiatreio Eye Hospital of Athens, Eleftheriou Venizelou 26, 106 72 Athens, Greece
2Department of Ophthalmology, General Hospital of Athens, Leoforos Mesogion 154, 115 27 Athens, Greece
3Ophthalmology Department, Red Cross Hospital, Erythrou Stavrou 1, 115 26 Athens, Greece

Received 22 January 2014; Revised 11 June 2014; Accepted 12 June 2014; Published 21 July 2014

Academic Editor: Aaron S. Dumont

Copyright © 2014 Dimitrios Karagiannis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. To report a case of acute zonal occult outer retinopathy (AZOOR) with atypical electrophysiology findings. Case Presentation. A 23-year-old-female presented with visual acuity deterioration in her right eye accompanied by photopsia bilaterally. Corrected distance visual acuity at presentation was 20/50 in the right eye and 20/20 in the left eye. Fundus examination was unremarkable. Visual field (VF) testing revealed a large scotoma. Pattern and full-field electroretinograms (PERG and ERG) revealed macular involvement associated with generalized retinal dysfunction. Electrooculogram (EOG) light rise and the Arden ratio were within normal limits bilaterally. The patient was diagnosed with AZOOR due to clinical findings, visual field defect, and ERG findings. Conclusion. This is a case of AZOOR with characteristic VF defects and clinical symptoms presenting with atypical EOG findings.