Systemic Corticosteroids Therapy in the Management of Acute Zonal Occult Outer Retinopathy

Figure 1

Color fundus in case 3 showed a tessellated myopic fundus with temporal conus in both eyes (a). Optical coherence tomography showed a normal picture in the right eye (b, upper) and a disrupted ellipsoid zone in the left eye at the acute onset stage (b, middle). Recovery of the ellipsoid zone in the left eye was noted 12 months later (b, lower). Humphrey 30-2 visual field showed generalized depressed light sensitivity and visual field defect at the central, temporal lower, and circumferential periphery in the left eye (c, upper). Mild obliteration at the nasal and upper periphery was also noted in the right eye (c, upper). Visual field test 1 year later showed an almost completely recovered visual field in the left eye (c, lower). Fluorescein angiography at the acute stage did not reveal any abnormalities (d, upper). Indocyanine green angiograph shows multiple hypofluorescent, coalescent spots at the posterior pole and peripapillary area in the left eye (d, lower). Fundus autofluorescence (FAF) at acute phase showed some hyperautofluorescent spots at upper aspect of disc and upper vascular arcade in the left eye (e, upper, red circle). FAF imaging 1 year later showed some peripapillary mottled hypoautofluorescence (e, lower, red circle).

(a)

(b)

(c)

(d)

(e)