Bemme S, Pleyer U, Salehi N, Naxer S, Callizo J, Hoerauf H, Feltgen N
Abteilung für Augenheilkunde, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Deutschland.
Klinik für Augenheilkunde, Charité Universitätsmedizin Berlin, Campus Virchow-Klinikum, Berlin, Deutschland.
Ophthalmologe. 2016 Jan;113(1):66-70. doi: 10.1007/s00347-015-0012-z.
Acute annular outer retinopathy (AAOR) is a very rare variant of acute zonal occult outer retinopathy (AZOOR). Both variants are characterized by the perception of a progressive visual field defect and can be accompanied by photopsia. In contrast to AZOOR, a progressive whitish and annular demarcation of the involved retina is observed in AAOR using ophthalmoscopy. Optical coherence tomography (OCT) reveals morphological changes predominantly in the outer retinal layers. Although there is no proof of an effective therapy, in the case presented here further progression could be stopped by a combination of antiviral and immunosuppressive therapy.
急性环形外层视网膜病变（AAOR）是急性区域性隐匿性外层视网膜病变（AZOOR）的一种非常罕见的变异型。这两种变异型均以逐渐出现的视野缺损为特征，且可能伴有闪光感。与AZOOR不同，使用检眼镜检查在AAOR中可观察到受累视网膜出现进行性变白和环形界限。光学相干断层扫描（OCT）显示主要在外层视网膜层出现形态学改变。尽管尚无有效治疗的证据，但在此病例中，抗病毒和免疫抑制联合治疗可阻止病情进一步发展。
