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Related Experiment Videos

[Multiple evanescent white dot syndrome].

W Noske1, M Danisevskis, M Priesnitz

  • 1Augenklinik und Poliklinik, Universitätsklinikum Steglitz.

Klinische Monatsblatter Fur Augenheilkunde
|August 1, 1992
PubMed
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Multiple evanescent white dot syndrome (MEWDS) can present with characteristic white dots early in its course. Residual enlarged blind spots and retinal pigment epithelium depigmentation may persist after initial visual recovery.

Area of Science:

  • Ophthalmology
  • Retinal Diseases
  • Neuro-ophthalmology

Background:

  • Multiple evanescent white dot syndrome (MEWDS) is an idiopathic inflammatory condition affecting the outer retina.
  • It typically presents with transient visual disturbances and characteristic fundus findings.

Observation:

  • A 38-year-old male presented with decreased visual acuity (20/60) in one eye.
  • Fundus examination revealed evanescent white dots at the retinal pigment epithelial interface.
  • Fluorescein angiography showed early hyperfluorescent defects and late staining.

Findings:

  • Despite initial improvement in visual acuity and fundus appearance, persistent enlargement of the blind spot was noted.
  • Sharply demarcated depigmentations of the retinal pigment epithelium remained as sequelae.

Related Experiment Videos

  • The study highlights that characteristic white dots can be present at the onset of MEWDS symptoms.

    • Implications:

    • Early recognition of characteristic white dots is crucial for diagnosing MEWDS.
    • Residual visual field defects (enlarged blind spot) and RPE changes can be long-term consequences of MEWDS.
    • This case underscores the importance of comprehensive ophthalmologic evaluation for unexplained visual disturbances.