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Case Reports
. 2019 Jan-Feb;64(1):117-122.
doi: 10.1016/j.survophthal.2017.06.006. Epub 2017 Jul 4.

Acquired unilateral scotoma

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Case Reports

Acquired unilateral scotoma

Amir H Marvasti et al. Surv Ophthalmol. 2019 Jan-Feb.

Abstract

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.

Keywords: acute zonal occult outer retinopathy; autofluorescence; enlarged blind spot; optical coherence tomography; visual field.

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