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KMID : 0360220200610080971
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Journal of the Korean Ophthalmological Society
2020 Volume.61 No. 8 p.971 ~ p.976
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Atypical Multiple Evanescent White Dot Syndrome with Pigmented Patches of Recovery Phase
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Lee Su-Kyung
Kim Hong-Kyu
Yang Jong-Yun
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Abstract
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Purpose: In the present study, an atypical case of multiple evanescent white dot syndrome (MEWDS) was reported, which the white dots of acute phase and the pigmented patches of recovery phase appeared on different location.
Case summary: A seventeen years old male with no previous medical history was presented with decreased visual acuity of his left eye. On the first visit, his maximum corrected vision was 1.0 in right eye and 0.5 in left eye. The white dots with blurry margin were noted at the nasal retina on fundus exam. Fundus autofluorescence photography, fluorescein angiography and indocyanine green angiography all showed typical foundings of MEWDS. Gradually the vision improved up to 1.0 with maximum correction in six weeks, with normalized ellipsoid zone contour. However, multiple panretinal pigmented patches appeared diffusely, not only at nasal, where the previous white spots were noted, but also at temporal. The patient was followed up without any medication. Finally, the pigmented lesions were disappeared spontaneously.
Conclusions: During the recovery phase of MEWDS, multiple pigmentations may appear in different part of the retina, where the white dots were not presented. However, they were disappeared with recovery of clinical symptoms gradually without any treatment.
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KEYWORD
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Multiple evanescent white dot syndrome, Pigmentation
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