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Published on: May 26, 2023
Multiple Evanescent White Dot Syndrome Presenting in a Patient With Punctate Inner Choroidopathy
Alexander R Walters1, Rene Y Choi1, Christina J Flaxel1
1Casey Eye Institute, Oregon Health & Science University, Portland, OR, USA.
Purpose:
This work reports a case of long-standing punctate inner choroidopathy (PIC) presenting with acute-onset multiple evanescent white dot syndrome.
Methods:
A 44 year-old man presented with new onset of flashes and a peripheral spot of blurry vision in the right eye. His ocular history included PIC in both eyes.
Results:
Corrected visual acuities and intraocular pressures were normal. Posterior segment examination of the right eye demonstrated old PIC lesions and new, deep-yellow lesions in the posterior pole and midperiphery. Four months later, these lesions had resolved.
Conclusions:
Coexistence of PIC and multiple evanescent white dot syndrome has been rarely reported, and more research is warranted to investigate a possible shared etiology.

