An atypical white dot syndrome after traumatic subretinal hemorrhage.
OBJECTIVE
The purpose of this report was to describe a case of an atypical white dot syndrome that developed 10 weeks after a traumatic subretinal hemorrhage.


METHODS
Retrospective chart review.


RESULTS
A 24-year-old woman presented 2 days after being punched in her right eye. A subretinal hemorrhage was present along the inferotemporal vascular arcades of the affected eye. The hemorrhage was slowly resolving until 10 weeks later when the patient noticed a new superonasal scotoma and floaters in her right eye. Deep retinal and retinal pigment epithelial gray-white spots were present inferotemporally around the hemorrhage. These spots were identifiable on fundus autofluorescence photography, fluorescein angiography, and indocyanine green angiography. A subretinal inflammatory mass was identified adjacent to the subretinal hemorrhage. In addition, there was mild vitritis, acute papillitis, retinal vasculitis, and photoreceptor disruption visible on spectral domain optical coherence tomography. The patient was started on oral prednisone with subsequent improvement in signs and symptoms.


CONCLUSIONS
Ocular trauma with subretinal hemorrhage may induce a white dot syndrome sharing some features with Multiple Evanescent White Dot Syndrome and Multiocal Choroiditis and Panuveitis.
*Vitreous-Retina-Macula Consultants of New York, New York, New York †The LuEsther T. Mertz Retinal Research Center, Manhattan Eye, Ear, and Throat Institute, New York, New York ‡Department of Ophthalmology, New York University, New York, New York §Edward S. Harkness Eye Institute, Columbia University College of Physicians and Surgeons, New York, New York.
Adrian T
AT
Fung
John A
JA
Sorenson
K Bailey
KB
Freund