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Multiple Evanescent White Dot Syndrome and Acute Zonal Occult Outer Retinopathies

 

作者: JAMES LOMBARDO,  

 

期刊: Optometry and Vision Science  (OVID Available online 2003)
卷期: Volume 80, issue 10  

页码: 673-680

 

ISSN:1040-5488

 

年代: 2003

 

出版商: OVID

 

关键词: evanescent;electroretinogram;early receptor potential;hepatitis;multiple evanescent white dot syndrome;acute zonal occult outer retinopathy

 

数据来源: OVID

 

摘要:

Background.Multiple evanescent white dot syndrome (MEWDS) is a rare, acute, multifocal retinitis located in the posterior pole. Patients with MEWDS may report photopsia, central scotoma, or decreased vision. Prodromal viral-like symptoms may be associated with this syndrome, but its etiology remains unknown. The condition is self limiting with a favorable prognosis for visual recovery within several weeks.Case Report.A young, myopic, female patient presented with painless photopsia, scotoma, and subsequent vision loss secondary to MEWDS. The clinical appearance, differential diagnosis, and management of MEWDS are discussed.Discussion.Careful ophthalmoscopic and angiographic interpretation along with complete history taking are the keys to diagnosing MEWDS. Ancillary testing including electroretinogram, early receptor potential, and visual fields aid in the differential diagnosis. Once the diagnosis has been established, patient reassurance is appropriate in the management of this condition.

 

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