title: Multiple evanescent white dot syndromes.
abstract: OBJECTIVE
  The aim of this study is to report a patient with multipe evanescent white dot syndrome (MEWDS) presenting with classic foveal granularity and pathology localized to the outer retina.
  
  
  METHODS
  Case study methodology was used in the current study.
  
  
  RESULTS
  A 34-year-old Caucasian female presented with photopsias and blurry vision in her left eye. Examination, particularly the foveal granularity noted in her affected eye, was archetypal for the diagnosis of MEWDS. Fundus autofluorescence, fluorescein and indocyanine green angiography were also consistent with this diagnosis. Spectral-domain optical coherence tomography (SD-OCT) demonstrated increased retinal pigment epithelium granularity and disruption of the photoreceptor inner segment-outer segment junction subfoveally.
  
  
  CONCLUSIONS
  Foveal granularity may be the most specific feature of MEWDS with SD-OCT capable of localizing pathology to the outer retina-a historically controversial finding.
authors: Department of Ophthalmology, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, 900 NW 17th Street, Miami, FL, 33136, USA.
authors: Ruwan A
authors: RA
authors: Silva
authors: Thomas A
authors: TA
authors: Albini
authors: Harry W
authors: HW
authors: Flynn