Multiple evanescent white dot syndrome and panuveitis: a case report.

J Ophthalmic Inflamm Infect

Department of Ophthalmology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Nishi 7, Kita 15, Kita-ku, Sapporo, 060-8638, Japan.

Published: October 2020

AI Article Synopsis

  • - A case study reports on a 70-year-old woman diagnosed with multiple evanescent white dot syndrome (MEWDS) along with complications like iridocyclitis and vitritis.
  • - The patient exhibited symptoms like subretinal white dots, iritis, and vitreous opacity, which were diagnosed with imaging techniques, and showed improvement after treatment with topical dexamethasone.
  • - The findings suggest that MEWDS can be associated with broader uveitis conditions, indicating a more complex clinical picture than previously understood.

Article Abstract

Aim: To report a patient with multiple evanescent white dot syndrome (MEWDS) complicated by iridocyclitis and vitritis.

Case Description: A 70-year-old woman developed multiple subretinal white dots, iritis, and diffuse vitreous opacity. Angiographic and macular morphological features were consistent with those of MEWDS. Inflammatory findings including the white dots improved following only topical dexamethasone within 1 month after the initial visit. Best-corrected visual acuity recovered to 1.0 with restored photoreceptor structure.

Conclusion: The presence of iridocyclitis and vitritis, atypical to MEWDS, indicates the concurrent development of panuveitis associated with MEWDS. These results suggest that MEWDS is a clinical entity of uveitis.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7596130PMC
http://dx.doi.org/10.1186/s12348-020-00221-3DOI Listing

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