DR. SHREY MAHESHWARI

DR. SHWETA PARAKH, DR.SHRUTANJOY MOHAN DAS, DR. LUTHRA SAURABH

Abstract

A 29 year old male presented with complaints of OU scotoma. BCVA was OD 6/6p ,OS 6/6. Anterior segment and fundus was normal OU. SD-OCT showed OD peripapillary RPE clumping, OS wnl. HRA-FAF showed diffuse peripapillary hyperautofluorescence with scalloped edges and OS uniform peripapillary and perifoveal hyperautofluorescent spots. Routine uveitis panel was normal, including APLA Ab. HVF-24-2 showed OU scotoma. FFA &ICGA showed OU Speckled hyperfluorescence speckled hypocyanescence respectively involving the disc and macula [OD >OS]. A diagnosis of OD active AZOOR, OS resolving AZOOR was made. He was started on oral and topical prednisolone in tapering doses with cotrimoxazole DS bd for 6 weeks. At the latest visit, BCVA was OU 6/6 and scotomas had completely resolved. OCT and HVF 24-2 were normal.

Multimodal imaging is invaluable in diagnosing AZOOR in patients with minimal symptoms and an apparently normal looking fundus.