PMID- 24368499 OWN - NLM STAT- MEDLINE DCOM- 20140910 LR - 20211021 IS - 1613-2246 (Electronic) IS - 0021-5155 (Linking) VI - 58 IP - 2 DP - 2014 Mar TI - Two types of acute zonal occult outer retinopathy differentiated by dark- and light-adapted perimetry. PG - 177-87 LID - 10.1007/s10384-013-0297-x [doi] AB - PURPOSE: To assess the results of perimetry recorded under dark- and light-adapted (DA and LA) conditions in patients with acute zonal occult outer retinopathy (AZOOR) and to compare the results of electroretinography (ERG) and spectral-domain optical coherence tomography (SD-OCT) in two groups of AZOOR patients. METHODS: Twelve patients with AZOOR were studied. The diagnosis of AZOOR was based on the results of ophthalmoscopy, Goldmann kinetic perimetry, and multifocal ERGs. In addition, DA and LA perimetry, ERG, and SD-OCT were performed. The patients were followed for 1-9 years. RESULTS: The patients were classified into two types: type A patients (3) had a scotoma detected by both DA and LA perimetry, normal or equally abnormal cone and rod ERGs, atrophy of the outer nuclear layer (ONL), and disruption of the inner segment/outer segment (IS/OS) junction line in the OCT images. Type B patients (7) had a scotoma that was more prominent in LA than in DA perimetry and a continuous IS/OS junction line in the OCT images. Two patients had characteristics of both type A and type B AZOOR. CONCLUSIONS: Our findings suggest that eyes with type A AZOOR have focal and severe impairment of both the rods and cones, and eyes with type B AZOOR have focal and specific impairment of the cones. FAU - Kuniyoshi, Kazuki AU - Kuniyoshi K AD - Department of Ophthalmology, Kinki University Faculty of Medicine, 377-2 Ohno-Higashi, Osaka-Sayama, Osaka, 589-8511, Japan, kazuki@med.kindai.ac.jp. FAU - Sakuramoto, Hiroyuki AU - Sakuramoto H FAU - Nakao, Yuzo AU - Nakao Y FAU - Matsumoto, Chota AU - Matsumoto C FAU - Shimomura, Yoshikazu AU - Shimomura Y LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20131226 PL - Japan TA - Jpn J Ophthalmol JT - Japanese journal of ophthalmology JID - 0044652 RN - Acute zonal occult outer retinopathy SB - IM MH - Adult MH - Atrophy MH - *Dark Adaptation MH - Diagnosis, Differential MH - Electroretinography MH - Female MH - Follow-Up Studies MH - Humans MH - Light MH - Male MH - Middle Aged MH - Ophthalmoscopy MH - Photoreceptor Cells, Vertebrate/pathology MH - Retinal Photoreceptor Cell Inner Segment/pathology MH - Retinal Photoreceptor Cell Outer Segment/pathology MH - Scotoma/classification/*diagnosis MH - Tomography, Optical Coherence MH - Visual Field Tests/*methods MH - Visual Fields MH - White Dot Syndromes EDAT- 2013/12/26 06:00 MHDA- 2014/09/11 06:00 CRDT- 2013/12/26 06:00 PHST- 2013/06/27 00:00 [received] PHST- 2013/10/29 00:00 [accepted] PHST- 2013/12/26 06:00 [entrez] PHST- 2013/12/26 06:00 [pubmed] PHST- 2014/09/11 06:00 [medline] AID - 10.1007/s10384-013-0297-x [doi] PST - ppublish SO - Jpn J Ophthalmol. 2014 Mar;58(2):177-87. doi: 10.1007/s10384-013-0297-x. Epub 2013 Dec 26.