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Multiple evanescent white dot syndrome (MEWDS).

A Leys¹, M Leys, P Jonckheere

¹Department of Ophthalmology, K.U. Leuven.

Bulletin De La Societe Belge D'Ophtalmologie

|January 1, 1990

Summary

Multiple evanescent white dot syndrome (MEWDS) can present with varied symptoms like macular or optic disc edema. Visual field defects like enlarged blind spots often resolve, though subtle foveal changes may remain.

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Area of Science:

Ophthalmology
Neuro-ophthalmology

Background:

Multiple evanescent white dot syndrome (MEWDS) is an idiopathic inflammatory condition affecting the outer retina and retinal pigment epithelium.
It typically presents in young adults, often unilaterally, with characteristic visual disturbances.

Observation:

This report details the clinical course of MEWDS in two young female patients.
The first patient exhibited significant macular edema, while the second presented with optic disc edema.

Findings:

Both patients experienced an enlarged blind spot, a visual field defect that subsequently normalized.
Persistent granular changes in the fovea were noted in the affected eyes post-resolution.

Implications:

The findings highlight the variable clinical presentation of MEWDS, emphasizing the need for careful observation.

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Understanding the natural history and potential sequelae of MEWDS is crucial for accurate diagnosis and patient management.