Acute zonal occult outer retinopathy-like presentation secondary to scleral buckle

Adrian T. Fung*, Edward Lo-Cao, Elisa E. Cornish

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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Purpose: To describe a case of acute zonal occult outer retinopathy-like (AZOOR-like) presentation following scleral buckle surgery for rhegmatogenous retinal detachment. Observations: A 48-year-old man underwent successful scleral buckle with cryotherapy for repair of a left eye inferior macula-on rhegmatogenous retinal detachment. Five years later he presented with a six-month history of left peripheral field restriction. Fundus autofluorescence and optical coherence tomography demonstrated degeneration of the photoreceptors in a ring pattern around the left macula. Humphrey visual fields showed functional loss corelating with the imaging, with a paracentral ring scotoma. Electrophysiology demonstrated a delayed 30 Hz flicker latency in the left eye confirming cone system dysfunction. Conclusion and Importance: Scleral buckling surgery for repair of a rhegmatogenous retinal detachment may be associated with a late AZOOR-like presentation.

Original languageEnglish
Article number101716
Pages (from-to)1-4
Number of pages4
JournalAmerican Journal of Ophthalmology Case Reports
Publication statusPublished - 1 Dec 2022

Bibliographical note

Copyright the Author(s) 2022. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.


  • Acute zonal occult outer retinopathy
  • Retinal detachment
  • Scleral buckle


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