Evidence map›Paper›PMID 39825320›Full record

ArticleBMC ophthalmology2025

Acute zonal occult outer retinopathy (AZOOR) complex associated with torpedo retinopathy following COVID-19 recombinant mRNA vaccination: a case report of a rare clinical presentation.

Nai-Wen Chang, Chia-Hao Kuo, Hung-Da Chou, Yi-Hsing Chen

Abstract readCase Reports
In one paragraph

Article in BMC ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Nai-Wen ChangDepartment of Medical Education, Linkou main branch, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Chia-Hao KuoDepartment of Ophthalmology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Hung-Da ChouDepartment of Ophthalmology, Linkou main branch, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Yi-Hsing ChenDepartment of Ophthalmology, Linkou main branch, Chang Gung Memorial Hospital, Taoyuan, Taiwan. yihsing@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile vaccination remains crucial in mitigating the impact of the COVID-19 pandemic, several ocular adverse events has been reported, including Acute Zonal Occult Outer Retinopathy (AZOOR) complex. CASE PRESENTATION: A 31-year-old female presented declined best corrected visual acuity (BCVA) and flashes in both eyes three days following second recombinant mRNA COVID-19 vaccine (Moderna). Fundus autofluorescence (FAF) illustrated speckled hyper-AF lesions surrounding right eye torpedo maculopathy site and hyper-AF lesions in the left macula. The spectral-domain optical coherence tomography delineated inner and outer segment (IS/OS) line disruption; hyperreflective deposits in the outer nuclear layer (ONL); and undetectable interdigitation zone (IDZ). Her BCVA further declined after 3-month observation, thus she received 8-month oral prednisolone and mycophenolate mofetil treatment. Her BCVA recovered; the hype-AF lesions resolved; and the IS/OS line and ONL resumed.

conclusionsWe present a rare case of AZOOR complex following COVID-19 vaccination inciting from torpedo retinopathy where outer-retinal barrier breaks down.

Indexed as

COVID-19COVID-19 VaccinesScotomaAdultFemaleFluorescein AngiographyHumansSARS-CoV-2Tomography, Optical CoherenceVaccines, SyntheticVisual AcuityWhite Dot SyndromesCOVID-19 VaccinesVaccines, SyntheticAcute zonal occult outer retinopathy (AZOOR)Recombinant mRNA vaccineTorpedo retinopathy

Identifiers

PMID39825320
PMCPMC11740369

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