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Multiple evanescent white dot syndrome

V Schelfhout1, B Lafaut, C Van den Neste

  • 1Ophthalmology Department, University Hospital, Ghent, Belgium.

Bulletin De La Societe Belge D'Ophtalmologie
|January 27, 1999
PubMed
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Indocyanine green angiography reveals extensive choroidal inflammation in Multiple Evanescent White Dot Syndrome (MEWDS), even when visual function appears normal. This imaging technique highlights subtle but significant ocular changes.

Area of Science:

  • Ophthalmology
  • Medical Imaging

Background:

  • Multiple Evanescent White Dot Syndrome (MEWDS) is an inflammatory condition affecting the outer retina and choroid.
  • Diagnosis often relies on characteristic clinical findings and imaging.

Observation:

  • A case study of a young female patient with bilateral MEWDS is presented.
  • Initial examination revealed multiple hypofluorescent dots and a peripapillary ring on indocyanine green (ICG) angiography.

Findings:

  • ICG angiography demonstrated widespread choroidal involvement in MEWDS, exceeding expectations from functional assessments.
  • Persistent hypofluorescence around the optic disc was noted, potentially linked to an enlarged blind spot.

Implications:

  • ICG angiography is crucial for fully understanding the extent of choroidal inflammation in MEWDS.

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  • Findings suggest a potential correlation between imaging results and visual field defects.