An Elderly Man with Atypical Multiple Evanescent White Dot Syndrome

Liang Wang, Polina Lankry, David Rabinovitch, Ryan Gallo, Rita Laiginhas, Prashanth Iyer, Shiri Shulman, Omer Trivizki*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


A rare occurrence of an atypical case of multiple evanescent white dot syndrome (MEWDS) in a 75-year-old man without viral prodrome or white dots on fundus that presented with acute, severe left eye visual loss, which returned to baseline without treatment in several weeks. Multimodal imaging, including fluorescein angiography (FA), fundus autofluorescence (FAF), indocyanine green angiography (ICG), and optical coherence tomography (OCT) demonstrated classical presentation of MEWDS with wreath-like lesions and inflammatory foci in the retinal pigment epithelium that correlated among modalities. Possible underlying systemic disorders were ruled out through extended work up. To the best of our knowledge, this is the first report to show atypical MEWDS in an elderly man with classic changes on FA, FAF, ICG, and OCT.

Original languageEnglish
Pages (from-to)883-887
Number of pages5
JournalCase Reports in Ophthalmology
Issue number3
StatePublished - 17 Nov 2022


  • Fluorescein angiography
  • Fundus autofluorescence
  • Indocyanine green angiography
  • Multiple evanescent white dot syndrome
  • Optical coherence tomography


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