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  Vol. 119 No. 12, December 2001 TABLE OF CONTENTS
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  Clinicopathologic Reports, Case Reports, and Small Case Series
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Multiple Evanescent White Dot Syndrome Following Hepatitis A Vaccination

Arch Ophthalmol. 2001;119:1856-1858.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

The multiple evanescent white dot syndrome (MEWDS) is an inflammatory retinal disorder, typically observed in young patients, that is characterized by unilateral visual loss and the presence of small, punctate, yellow-white lesions that involve the outer retina. In addition to reduced central visual acuity, patients usually experience photopsias and scotomas in the affected eye. A characteristic granular appearance may be observed in the macula as well.1 Patients usually recover good visual acuity with disappearance of the outer retinal lesions within 4 to 8 weeks of initial examination, although subjective difficulties with vision may persist. Bilateral involvement, recurrence, and delayed choroidal neovascularization can occur, but are infrequent.2-3 Although the cause of MEWDS is unknown, the presence of elevated serum immunoglobulin levels4 and the description of MEWDS following a booster vaccination for hepatitis B virus5 suggest an immune basis for this disorder.

Immunization with inactivated hepatitis A virus vaccine (HAVV) is an . . . [Full Text of this Article]

Report of a Case

Comment

Corresponding author: Emmett T. Cunningham, Jr, MD, PhD, MPH, The Pearl and Samuel J. Kimura Ocular Immunology Laboratory, The Francis I. Proctor Foundation, UCSF Medical Center, San Francisco, CA 94143-0944 (e-mail: emmett_cunningham@yahoo.com).







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