| Multiple evanescent white dot syndrome: a review and case report. | |
| | |
MedLine Citation:
|
PMID: 20718788 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Multiple evanescent white dot syndrome (MEWDS) is a rare chorioretinal syndrome that usually presents with a unilateral, multifocal retinitis affecting mostly young women. The typical presentation includes multiple white spots extending from the posterior pole out to the mid-peripheral retina, possible vitritis and a granular appearance to the fovea. Symptoms can include a prodromal flu-like episode, photopsia, scotoma and decreased vision. Ophthalmoscopy is the most common method of diagnosing MEWDS but fluorescein angiography, electrodiagnostic testing, visual fields and optical coherence tomography can help confirm the diagnosis. MEWDS is usually a self-limiting condition with complete visual recovery, although subsequent retinal sequellae may be possible. CASE REPORT: A healthy 21-year-old myopic female presented with unilateral, sudden onset of photopsia, blurred vision and a 'grey area' in the temporal visual field. Initial examination found a vitritis, maculopathy and the presence of white dots in all four quadrants of the mid-peripheral retina. A retinal ophthalmologist confirmed the diagnosis of MEWDS. Although the patient was less than compliant with the retinal specialist's recommendations, a subsequent examination found complete resolution of signs and symptoms. CONCLUSIONS: In the primary optometric setting, the uncommon syndrome known as MEWDS must be considered when the common symptoms of photopsia and blurred vision, combined with the atypical clinical presentation of white spots in the fundus appear in an otherwise healthy patient. |
| | |
Authors:
|
Peter T Ryan |
Related Documents
:
|
15025618 - Anaesthetic considerations in kartagener's syndrome -- a case report. 19514648 - Atypical clinical manifestations of multiple endocrine neoplasia type 1 syndrome. 7955668 - Tectocerebellar dysraphia with posterior encephalocele (friede): report of the youngest... 10730288 - Odontogenic keratocysts in a 5-year-old: initial manifestations of nevoid basal cell ca... 1357898 - Hemolytic uremic syndrome in a patient with systemic sclerosis treated with cyclosporin a. 7762588 - Tooth agenesis in down syndrome. |
Publication Detail:
|
Type: Case Reports; Journal Article; Review Date: 2010-08-16 |
Journal Detail:
|
Title: Clinical & experimental optometry : journal of the Australian Optometrical Association Volume: 93 ISSN: 1444-0938 ISO Abbreviation: Clin Exp Optom Publication Date: 2010 Sep |
Date Detail:
|
Created Date: 2010-09-13 Completed Date: 2011-01-06 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8703442 Medline TA: Clin Exp Optom Country: Australia |
Other Details:
|
Languages: eng Pagination: 324-9 Citation Subset: IM |
Affiliation:
|
Scottsdale, Arizona, USA. pryanoes@yahoo.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Female Humans Indocyanine Green / diagnostic use Retinal Diseases / diagnosis*, therapy Syndrome Tomography, Optical Coherence Young Adult |
| Chemical | |
Reg. No./Substance:
|
3599-32-4/Indocyanine Green |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Sarcoidosis presenting as acute bulbar follicular conjunctivitis.
Next Document: The Australian optometric workforce 2009.