TY - JOUR
T1 - An Elderly Man with Atypical Multiple Evanescent White Dot Syndrome
AU - Wang, Liang
AU - Lankry, Polina
AU - Rabinovitch, David
AU - Gallo, Ryan
AU - Laiginhas, Rita
AU - Iyer, Prashanth
AU - Shulman, Shiri
AU - Trivizki, Omer
N1 - Publisher Copyright:
© 2022 S. Karger AG. All rights reserved.
PY - 2022/11/17
Y1 - 2022/11/17
N2 - 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.
AB - 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.
KW - Fluorescein angiography
KW - Fundus autofluorescence
KW - Indocyanine green angiography
KW - Multiple evanescent white dot syndrome
KW - Optical coherence tomography
UR - http://www.scopus.com/inward/record.url?scp=85144460672&partnerID=8YFLogxK
U2 - 10.1159/000526583
DO - 10.1159/000526583
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C2 - 36466057
AN - SCOPUS:85144460672
SN - 1663-2699
VL - 13
SP - 883
EP - 887
JO - Case Reports in Ophthalmology
JF - Case Reports in Ophthalmology
IS - 3
ER -