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Acute zonal occult outer retinopathy: a classification based on multimodal imaging.

Sarah Mrejen1, Samira Khan2, Roberto Gallego-Pinazo3

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Summary

This study defines acute zonal occult outer retinopathy (AZOOR) using multimodal imaging. The proposed classification aids in differentiating AZOOR from other posterior fundus conditions.

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Area of Science:

  • Ophthalmology
  • Retinal Imaging
  • Medical Diagnostics

Background:

  • Acute zonal occult outer retinopathy (AZOOR) is a distinct clinical entity.
  • Accurate diagnosis is crucial for differentiating AZOOR from other posterior fundus pathologies.

Purpose of the Study:

  • To propose a novel classification system for AZOOR.
  • To characterize AZOOR using multimodal imaging techniques.

Main Methods:

  • Retrospective review of 30 AZOOR cases across two centers.
  • Utilized multimodal imaging: fundus photography, angiography (ICG, FA), autofluorescence, and OCT.
  • Analyzed clinical presentation, lesion characteristics, and visual acuity.

Main Results:

  • AZOOR patients presented with photopsia and scotoma.
  • Characteristic findings included demarcating lines, trizonal outer retinal involvement, and zonal progression.
  • Advanced cases showed inner/outer retinal disruption and RPE/choroidal damage.

Conclusions:

  • A specific definition and classification of AZOOR based on multimodal imaging are proposed.
  • This aids in distinguishing AZOOR from other retinopathies.
  • Multimodal imaging is essential for AZOOR diagnosis and characterization.