Submacular involvement with poor visual outcome in a case of multiple evanescent white dot syndrome Yasuko Mukaida 1 , Shigeki Machida 1 , Takamitsu Fujiwara 1 , Yutaka Tazawa 1 , Masaki Kobayashi 2 , Tsuyoshi Onodera 2 1Dept of Ophthalmol,Iwate Med Univ Sch of Med 2Dept of Ophthalmol,Hachinohe Red Cross Hosp pp.1895-1898
Published Date 2005/11/15
DOI https://doi.org/10.11477/mf.1410100249
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A 29-year-old male presented with central scotoma and impaired vision in his right eye since one week before. His corrected visual acuity was 0.01 right and 1.2 left. His right eye showed numerous white patches in deep retinal layers in the posterior fundus. A patchy subfoveal lesion was present surrounded by serous retinal detachment. Fluorescein angiography showed hyperfluorescence corresponding to white patches. The subfoveal lesion showed hyperfluorescence during the early phase and dye staining in the late phase. These findings led to the diagnosis of multiple evanescent white dot syndrome(MEWDS). The white dots disappeared spontaneously one month later. The subfoveal lesion turned into scar. The visual acuity remained the same throughout. This case illustrates that subfoveal lesion may develop in MEWDS resulting in poor visual outcome.

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