© 2003 BMJ Publishing Group Ltd
LETTER
Case of acute zonal occult outer retinopathy with altitudinal hemianopsia
Fujita Health University, Aichi, Japan
Correspondence to:
Correspondence to:
Yoshiaki Shimada, Department of Ophthalmology, Fujita Health University, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake-city, Aichi 470-1192, Japan;
ysmd@za2.so-net.ne.jp
Accepted 9 April 2002
Keywords: occult outer retinopathy; altitudinal
| The first 150 words of the full text of this article appear below. |
Since the clinical entity of acute zonal occult outer retinopathy (AZOOR) was initially proposed,1 it has been noted that the visual loss may be misattributed to lesions in the optic nerve or central nervous system. Even with a likely visual field defect for those diseases—an afferent pupillary defect and reduced subjective central flicker fusion threshold—clinicians should be always aware of the possibility of AZOOR.
A 32 year old woman noticed a large scotoma in her right eye. She was examined by an ophthalmologist who found her corrected visual acuity to be 0.4 in the right eye and 1.0 in the left eye. She also had an afferent pupillary defect in the right eye. Goldmann perimetry showed a superior altitudinal hemianopic defect in the right eye (fig 1
). Subjective central flicker fusion threshold was reduced in the right eye (18 Hz) and normal in the left eye (35 Hz). Ophthalmoscopic
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