Systemic Corticosteroids Therapy in the Management of Acute Zonal Occult Outer Retinopathy

Purpose. To report the efficacy of systemic steroid in treating acute zonal occult outer retinopathy (AZOOR). Methods. Retrospective study of 9 consecutive patients of AZOOR, who received systemic steroid therapy in Changhua Christian Hospital from 2005 to 2013, is presented. The duration of therapy...

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Main Authors: San-Ni Chen, Chang-Hao Yang, Chung-May Yang
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2015/793026
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author San-Ni Chen
Chang-Hao Yang
Chung-May Yang
author_facet San-Ni Chen
Chang-Hao Yang
Chung-May Yang
author_sort San-Ni Chen
collection DOAJ
description Purpose. To report the efficacy of systemic steroid in treating acute zonal occult outer retinopathy (AZOOR). Methods. Retrospective study of 9 consecutive patients of AZOOR, who received systemic steroid therapy in Changhua Christian Hospital from 2005 to 2013, is presented. The duration of therapy was at least 3 months. Patients were evaluated with best corrected visual acuity (BCVA), optical coherence tomography (OCT), fluorescein angiography (FA), indocyanine green angiography (ICG), visual field test, and electroretinography (ERG). Results. At the initial visit, visual field defect was noted in all patients and impaired visual acuity was noted in 4 eyes. OCT examination revealed disrupted ellipsoid zone at the macular area in 8 eyes and outer nuclear layer (ONL) loss in 1 eye. At the end of follow-up, all patients had improvement of visual field. The 4 eyes with initial impaired visual acuity had BCVA recovering to 20/20. Follow-up OCT showed partial or complete recovery of the ellipsoid zone at the macular area in the 8 eyes with initial disrupted ellipsoid zone and stable condition in the eye with ONL loss. The mean follow-up duration was 47.11±26.65 months. Conclusion. Visual improvement was achieved in most cases of recent onset AZOOR after systemic steroid treatment.
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spelling doaj-art-4e49da7cc6924625b8bffe793e1aca672025-02-03T01:07:13ZengWileyJournal of Ophthalmology2090-004X2090-00582015-01-01201510.1155/2015/793026793026Systemic Corticosteroids Therapy in the Management of Acute Zonal Occult Outer RetinopathySan-Ni Chen0Chang-Hao Yang1Chung-May Yang2Department of Ophthalmology, Changhua Christian Hospital, Changhua City 500, TaiwanDepartment of Ophthalmology, National Taiwan University Hospital, Taipei 100, TaiwanDepartment of Ophthalmology, National Taiwan University Hospital, Taipei 100, TaiwanPurpose. To report the efficacy of systemic steroid in treating acute zonal occult outer retinopathy (AZOOR). Methods. Retrospective study of 9 consecutive patients of AZOOR, who received systemic steroid therapy in Changhua Christian Hospital from 2005 to 2013, is presented. The duration of therapy was at least 3 months. Patients were evaluated with best corrected visual acuity (BCVA), optical coherence tomography (OCT), fluorescein angiography (FA), indocyanine green angiography (ICG), visual field test, and electroretinography (ERG). Results. At the initial visit, visual field defect was noted in all patients and impaired visual acuity was noted in 4 eyes. OCT examination revealed disrupted ellipsoid zone at the macular area in 8 eyes and outer nuclear layer (ONL) loss in 1 eye. At the end of follow-up, all patients had improvement of visual field. The 4 eyes with initial impaired visual acuity had BCVA recovering to 20/20. Follow-up OCT showed partial or complete recovery of the ellipsoid zone at the macular area in the 8 eyes with initial disrupted ellipsoid zone and stable condition in the eye with ONL loss. The mean follow-up duration was 47.11±26.65 months. Conclusion. Visual improvement was achieved in most cases of recent onset AZOOR after systemic steroid treatment.http://dx.doi.org/10.1155/2015/793026
spellingShingle San-Ni Chen
Chang-Hao Yang
Chung-May Yang
Systemic Corticosteroids Therapy in the Management of Acute Zonal Occult Outer Retinopathy
Journal of Ophthalmology
title Systemic Corticosteroids Therapy in the Management of Acute Zonal Occult Outer Retinopathy
title_full Systemic Corticosteroids Therapy in the Management of Acute Zonal Occult Outer Retinopathy
title_fullStr Systemic Corticosteroids Therapy in the Management of Acute Zonal Occult Outer Retinopathy
title_full_unstemmed Systemic Corticosteroids Therapy in the Management of Acute Zonal Occult Outer Retinopathy
title_short Systemic Corticosteroids Therapy in the Management of Acute Zonal Occult Outer Retinopathy
title_sort systemic corticosteroids therapy in the management of acute zonal occult outer retinopathy
url http://dx.doi.org/10.1155/2015/793026
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