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Atypical Manifestation of Multiple Evanescent White Dot Syndrome With Large Peripapillary Lesion
Arch Ophthalmol. 2003;121:1794-1796.
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Multiple evanescent white dot syndrome (MEWDS) is on the spectrum of diseases that includes acute zonal occult outer retinopathy, acute idiopathic blind spot enlargement syndrome, punctate inner choroidopathy, multifocal choroiditis and panuveitis, and acute macular neuroretinopathy.1 We present an atypical case of MEWDS in which a strikingly large white peripapillary outer retinal lesion evolved into a lesion with a more classical MEWDS appearance.
Report of a Case.
A 32-year-old woman sought treatment because of sudden onset of "spots that grew into circles" in the left eye that were accompanied by "flashes and floaters" with loss of "parts of central vision." She denied any ocular pain or discomfort. She denied any systemic complaints, specifically those of any recent viral or flulike symptoms. Other than the use of levothyroxine sodium (Levoxyl; King Pharmaceuticals Inc, Bristol, Tenn) for thyroid dysfunction, she denied any other illnesses or medication use. At initial examination, her visual acuity was 20/20 OU . . . [Full Text of this Article]
Comment.
Subhransu Ray, MD, PhD;
John Loewenstein, MD
Boston, Mass
Corresponding author: John Loewenstein, MD, Retina Service, Massachusetts Eye and Ear Infirmary, Department of Ophthalmology, Harvard Medical School, 243 Charles St, Boston, MA 02446(e-mail: john_loewenstein@meei.harvard.edu).
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