Skip to main content
. 2023 Oct 19;43(11):1890–1903. doi: 10.1097/IAE.0000000000003927

Table 2.

Clinical Features of 10 Patients With Multizonal Outer Retinopathy and Retinal Pigment Epitheliopathy (MORR)

Patient No./Sex/Age, y Laterality Follow-Up Duration, y Initial Visual Acuity Final Visual Acuity Medical History Systemic Work-Up and Genetic Testing Treatment Natural Course and Complications
1/F/43 Bilateral 23 20/20 OD
20/20 OS
20/30 OD
20/20 OS
Graves' disease Negative laboratory and genetic panel testing Mycophenolate mofetil Centripetal and centrifugal progression with foveal sparing OU
2/F/71 Bilateral 17 20/25 OD
20/25 OS
20/40 OD
20/60 OS
Rheumatoid arthritis, hypertension, asthma Negative laboratory and whole genome sequencing None Centripetal and centrifugal progression with foveal sparing OU
3/M/69 Bilateral with marked asymmetry 10 20/40 OD
20/30 OS
20/200 OD
20/50 OS
Hypercholesterolemia Negative laboratory and genetic panel testing None Centripetal and centrifugal progression with foveal involvement OD
Discrete progression of peripapillary lesion with foveal sparing OS
4/F/53 Bilateral with marked asymmetry 21 20/60 OD
20/20 OS
HM OD
HM OS
Hashimoto thyroiditis, hypercholesterolemia Negative laboratory and genetic panel testing Acyclovir Complete retinal degeneration OU
5/F/64 Bilateral 10 20/30 OD
20/40 OS
20/150 OD
20/200 OS
Hashimoto's thyroiditis, Type 1 diabetes, hypertension, liver hemangiomas, ovarian cancer Negative laboratory and whole genome sequencing None Centripetal and centrifugal progression with foveal involvement OU
6/M/41 Bilateral 10 20/20 OD
20/20 OS
20/100 OD
20/100 OS
Ulcerative colitis, primary sclerosing cholangitis Negative laboratory testing Repeated IVI of dexamethasone implant 0.7 mg, then of fluocinolone acetonide intravitreal implant (0.19 mg) Centripetal and centrifugal progression with foveal involvement OU. Temporary cessation of the peripapillary lesion progression and partial regression of the fringe-like hyperautofluorescent border after intravitreal corticosteroids
Subretinal fibrosis OD
7/F/53 Bilateral 10 20/40 OD
20/20 OS
20/300 OD
20/40 OS
Congenital pulmonary valve disease, hypercholesterolemia, Type 2 diabetes Negative laboratory and genetic panel testing Repeated IVI of dexamethasone implant 0.7 mg, then of fluocinolone acetonide intravitreal implant (0.18 mg) Centripetal and centrifugal progression with foveal involvement OD
Temporary cessation of the peripapillary lesion progression and partial regression after repeated IVI of dexamethasone 0.7 mg then centripetal and centrifugal progression with foveal involvement OS
8/F/38 Bilateral 13 20/20 OD
20/200 OS
20/40 OD
20/400 OS
Unremarkable Negative laboratory and genetic panel testing Corticosteroid, mycophenolate mofetil, methotrexate, adalimumab, infliximab Centripetal and centrifugal progression with foveal sparing OD and foveal involvement OS
9/F/40 Bilateral 8 20/20 OD
20/20 OS
20/20 OD
20/20 OS
Unremarkable Negative laboratory testing Corticosteroid, adalimumab Centripetal and centrifugal progression with foveal sparing OU
10/F/69 Bilateral 9 20/20 OD
20/40 OS
20/200 OD
20/200 OS
Unremarkable Negative laboratory and genetic panel testing Intravitreal injections of bevacizumab Centripetal and centrifugal progression with foveal involvement OU
Choroidal neovascularization OS and subretinal fibrosis OU

IVI, intravitreal injection; OD, right eye: OS, left eye.