Acquired unilateral scotoma

A 54-year-old white man presented with a “blind spot” temporally in his left eye. Best-corrected visual acuity in the affected eye was 20/20, and Humphrey visual field revealed an enlarged blind spot. Funduscopic examination revealed subtle peripapillary pigmentary changes corresponding to a well-de...

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Bibliographic Details
Published inSurvey of ophthalmology Vol. 64; no. 1; pp. 117 - 122
Main Authors Marvasti, Amir H., Chen, Kevin C., Ferreyra, Henry A., Falardeau, Julie
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.01.2019
Subjects
acute zonal occult outer retinopathy
autofluorescence
enlarged blind spot
optical coherence tomography
visual field
autofluorescence
visual field
acute zonal occult outer retinopathy
optical coherence tomography
enlarged blind spot
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Summary:A 54-year-old white man presented with a “blind spot” temporally in his left eye. Best-corrected visual acuity in the affected eye was 20/20, and Humphrey visual field revealed an enlarged blind spot. Funduscopic examination revealed subtle peripapillary pigmentary changes corresponding to a well-demarcated peripapillary region of hyperautofluorescence and hypoautofluorescence on fundus autofluorescence. Outer retinal degenerative changes were detected on spectral-domain optical coherence tomography. A diagnosis of acute zonal occult outer retinopathy was made based on clinical history and imaging studies.
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ISSN:0039-6257
1879-3304
DOI:10.1016/j.survophthal.2017.06.006