title: ["En face" optical coherence tomography for multiple evanescent white dot syndrome].
abstract: BACKGROUND
  Multiple evanescent white dot syndrome (MEWDS) is a rare, usually unilateral, retinal disease associated with transient loss of vision. Its pathogenesis remains elusive. The purpose of this study was to determine the spatial location of the lesions in the neurosensory retina of a patient with MEWDS, using a new technology, i.e. "en face" optical coherence tomography ("en face" OCT).
  
  
  METHODS
  A 21-year-old woman presenting with bilateral MEWDS underwent Cirrus(®) OCT with advanced "en face" reconstructions of the various retinal layers and inner choroid, fluorescein angiography, and infracyanine green angiography (ICGA).
  
  
  RESULTS
  During the acute stage of MEWDS, advanced "en face" visualization mode of the IS/OS photoreceptor junction and the inner choroid showed areas of strong signal attenuation, forming a spot pattern identical to that of the hypofluorescent IGCA dots. One month later, visual acuity returned to 20/25 in both eyes and the reflectivity map of the IS/OS junction and inner choroid displayed no areas of signal attenuation.
  
  
  CONCLUSIONS
  "En face" OCT is a new, noninvasive technology, capable of visualizing specific attenuation of the IS/OS junction in MEWDS, which form a spot pattern identical to those revealed by ICGA.
authors.affiliation: Unité rétine, uvéite et neuro-ophtalmologie, service d'ophtalmologie, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France. Electronic address: francecombillet@hotmail.fr.
authors.forename: F
authors.initials: F
authors.lastname: Combillet
authors.forename: M-B
authors.initials: MB
authors.lastname: Rougier
authors.forename: M
authors.initials: M
authors.lastname: Blaizeau
authors.forename: J-F
authors.initials: JF
authors.lastname: Korobelnik
authors.forename: M-N
authors.initials: MN
authors.lastname: Delyfer
mesh_terms: D002833:Choroiditis / Q000150:complications / Q000175:diagnosis*; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D007208:Indocyanine Green / Q000031:analogs & derivatives; D000080364:Multifocal Choroiditis; D012164:Retinal Diseases / Q000150:complications / Q000175:diagnosis*; D041623:Tomography, Optical Coherence / Q000379:methods*; D055815:Young Adult
chemical_list: C116320:Infracyanine green; D007208:Indocyanine Green
keywords: Advanced “en face” visualization mode; Angiographie au vert d’infracyanine; Inflammation; Infracyanine green angiography; Multiple evanescent white dot syndrome; Photoreceptors; Photorécepteurs; Syndrome des taches blanches évanescentes multiples; Tomographie par cohérence optique « en face »; “En face” optical coherence tomography