Multiple evanescent white dot syndrome.
BACKGROUND
Multiple evanescent white dot syndrome is a benign, rare, acute, usually unilateral disease that primarily affects young women. Retinal findings can include white dots at the level of the retinal pigment epithelium, optic nerve head swelling, an enlarged blind spot, and paracentral and central scotomas. Visual loss can be significant early on, but almost always returns to normal. The cause is unknown.


METHODS
A case of a 32-year-old woman with multiple evanescent white dot syndrome is presented and reviewed. The progression, symptoms, and differential diagnosis of multiple evanescent white dot syndrome are reviewed.


CONCLUSIONS
The diagnosis of multiple evanescent white dot syndrome should be considered in young patients who manifest acute unilateral vision loss or photopsia. This is particularly important if there is unilateral disk swelling and blind-spot enlargement.
Arbet
T P
TP
Rock Island Optometric Center, Rock Island, Illinois, USA.
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D005451:Fluorescein Angiography; D005500:Follow-Up Studies; D005654:Fundus Oculi; D006801:Humans; D009898:Optic Disk / Q000473:pathology; D010857:Pigment Epithelium of Eye / Q000473:pathology*; D012164:Retinal Diseases / Q000175:diagnosis*; D013577:Syndrome; D014786:Vision Disorders / Q000175:diagnosis; D014792:Visual Acuity; D014794:Visual Fields