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  Vol. 106 No. 9, September 1988 TABLE OF CONTENTS
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Multiple Evanescent White Dot Syndrome-Reply

William F. Hoty, MD; Richard K. Imes, MD
San Francisco

Arch Ophthalmol. 1988;106(9):1163.

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

In Reply.

—We agree with Dr Aaberg that MEWDS and acute idiopathic blind spot enlargement have one important feature in common: they both involve the retina. Here their similarity ends. Acute idiopathic blind spot enlargement is a scotoma syndrome in which visual loss is peripapillary, absolute in density, and steep-edged at the margins. In MEWDS, there are decreased visual acuity, anterior chamber and vitreous reaction, visible deep retina lesions, and no dense scotomas.

The late-stage fluorescein angiograms in patients 2 and 7 did not show leakage. Ophthalmoscopic evidence of disc edema was absent in all seven patients. None of our patients had symptoms of a flulike illness preceding their visual symptoms.

Acute idiopathic blind spot enlargement remains a retinal disease without an explanation. . . . [Full Text PDF of this Article]



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