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Patient Presentation: A 23-year-old obese female was diagnosed with idiopathic intracranial hypertension (IIH) and referred to neurosurgery for ventriculoperitoneal shunt. A baseline ocular examination was performed prior to the procedure.
On examination, vision was 20/200 in the right eye, and 20/40 in the left eye. There was a right relative afferent pupillary defect. Slit lamp examination was normal.
A dilated fundus examination was performed demonstrating the following:
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Uveitis
Case 4
Contributors: Dr. John Liu and Dr. Chloe Gottlieb
Patient Presentation: A 26-year-old Caucasian female presents with a complaint of bilateral progressive visual field loss, worse in her left eye. She endorses photopsias in her left eye, which then rapidly progressed to her right eye within several days. She denies a prodrome and has had no recent infections, no recent travel, and no sick contacts.
Colour fundus photos were taken and are show below:
Question: Please describe the main finding in these fundus photographs
An SD-OCT was performed, and images are shown below:
Question: Please describe the abnormalities in the patient’s OCT image.
Question: What “White Dot Syndrome” is this diagnosis related to?
References:
Gupta RR, Iaboni DSM, Seamone ME, Archambault C, Lederer DE. Acute Annular Outer Retinopathy: Literature Review and a Report of 2 Cases. Journal of VitreoRetinal Diseases. 2019 May;3(3):172–82.
Donald J, Gass M, Stern C. Acute Annular Outer Retinopathy as a Variant of Acute Zonal Occult Outer Retinopathy. American Journal of Ophthalmology. 1995 Mar;119(3):330–4.
Learning Objectives:
1. Identify fundus photo and OCT features of AAOR (Acute Annular Outer Retinopathy)
2. Understand AAOR and how it relates to Acute Zonal Occult Outer Retinopathy (AZOOR)
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