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Multiple evanescent white dot syndrome in older patients
J I Lim1, G T Kokame, J P Douglas
1Department of Ophthalmology, Doheny Eye Institute, USC School of Medicine, Los Angeles, California 90033, USA. jennifil@hsc.usc.edu
American Journal of Ophthalmology
|June 18, 1999
Summary
Multiple evanescent white dot syndrome (MEWDS) can affect older adults. This report details two cases in patients in their seventh decade, showing typical MEWDS findings and eventual recovery.
Area of Science:
- Ophthalmology
- Retinal Diseases
Background:
- Multiple evanescent white dot syndrome (MEWDS) is an idiopathic inflammatory retinal condition.
- Typically affects young adults, but atypical presentations warrant consideration.
Observation:
- Two patients in their seventh decade presented with decreased vision, visual field loss, and photopsia.
- Funduscopic examination revealed numerous evanescent white retinal spots and foveal granularity.
- Visual field testing showed enlarged blind spots and peripheral defects.
Findings:
- Diagnostic tests including fluorescein angiography, electroretinography, and electrooculography supported a diagnosis of MEWDS.
- Retinal lesions resolved spontaneously in both patients.
- Baseline visual acuity was restored after lesion resolution.
Implications:
- MEWDS should be considered in older patients presenting with characteristic retinal findings.
- Age should not exclude MEWDS from the differential diagnosis in relevant clinical scenarios.
- Further research may elucidate the broader age spectrum and potential risk factors for MEWDS.