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Multiple evanescent white dot syndrome and panuveitis: a case report.
Kazuomi Mizuuchi1, Wataru Saito2,3, Kenichi Namba1
1Department of Ophthalmology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Nishi 7, Kita 15, Kita-ku, Sapporo, 060-8638, Japan.
Journal of Ophthalmic Inflammation and Infection
|October 30, 2020
Summary
This case study reports a patient with multiple evanescent white dot syndrome (MEWDS) who also developed iridocyclitis and vitritis. The findings suggest MEWDS may be a form of panuveitis.
Area of Science:
- Ophthalmology
- Immunology
Background:
- Multiple evanescent white dot syndrome (MEWDS) is an inflammatory eye condition.
- Typical MEWDS involves distinct retinal findings but rarely presents with iridocyclitis and vitritis.
Purpose of the Study:
- To describe a unique case of MEWDS complicated by iridocyclitis and vitritis.
- To explore the potential classification of MEWDS as a clinical entity of panuveitis.
Main Methods:
- A case report of a 70-year-old woman with MEWDS.
- Clinical examination, angiography, and macular morphology assessment.
- Treatment with topical dexamethasone and follow-up evaluation.
Main Results:
- The patient presented with subretinal white dots, iritis, and vitreous opacity.
- Diagnostic features were consistent with MEWDS.
- Complete resolution of inflammatory signs and visual recovery to 1.0 with topical steroids.
Conclusions:
- The co-occurrence of iridocyclitis and vitritis suggests panuveitis in this MEWDS case.
- These findings support considering MEWDS as a clinical manifestation of uveitis.
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