Atypical Presentation of Multiple Evanescent White Dot Syndrome (MEWDS)

Abstract

Purpose: To present fundus autofluorescence (FAF), indocyanine green angiography (ICGA), and microperimetry (MP) findings of a patient with multiple evanescent white dot syndrome (MEWDS). Methods: Observational case report. Results: A 30-year-old woman with blurry vision was referred for evaluation. Fundus examination revealed only foveal granularity. FAF showed hyperautofluorescent spots, although they were not visible clinically. On ICGA, matching areas were hypofluorescent. Microperimetry revealed mean sensitivity decrease. The resolution of the symptoms was followed by disappearance of these spots in FAF and ICGA and increase of mean macular sensitivity in MP. Conclusion: FAF is a noninvasive imaging technique that might help in the differential diagnosis of chorioretinal pathologies.

KEYWORDS:

• fundus auotofluorescence (FAF)
• indocyanine green angiography (ICG)
• microperimetry (MP)
• multiple evanescent white dot syndrome (MEWDS)