Atypical presentation of multiple evanescent white dot syndrome involving granular lesions of varying size.
OBJECTIVE
To report an atypical presentation of multiple evanescent white dot syndrome (MEWDS).


METHODS
Observational case report.


METHODS
Review of the clinical, laboratory, photographic, and angiographic records of a patient with MEWDS.


RESULTS
A 29-year-old woman presented with 20/400 vision in the right eye associated with multiple, granular lesions of varying sizes (100-1000 microm) in the outer retina, a prominent panuveitis, diffuse choroidal thickening and enlarged blindspot. The multiple lesions and visual disturbances resolved within 4 weeks with corticosteroid treatment, and the patient was diagnosed with MEWDS.


CONCLUSIONS
Clinicians should be aware of atypical manifestations of MEWDS. The patient's unusual fundoscopic changes and prominent intraocular inflammatory reaction are findings that have not been reported in patients with MEWDS.
Khurana
Rahul N
RN
Doheny Eye Institute, University of Southern California, Keck School of Medicine, 1450 San Pablo Street No. 3612, Los Angeles, CA 90033, USA.
Albini
Thomas
T
Dea
Melvin K
MK
Rao
Narsing A
NA
Lim
Jennifer I
JI
D000328:Adult; D002829:Choroid / Q000473:pathology*; D005260:Female; D005451:Fluorescein Angiography; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D009898:Optic Disk / Q000473:pathology*; D015864:Panuveitis / Q000175:diagnosis* / Q000188:drug therapy; D011241:Prednisone / Q000627:therapeutic use; D012164:Retinal Diseases / Q000175:diagnosis* / Q000188:drug therapy; D013577:Syndrome; D014786:Vision Disorders / Q000175:diagnosis* / Q000188:drug therapy
D005938:Glucocorticoids; D011241:Prednisone