Two cases of Multiple Evanescent White Dot Syndrome

ABSTRACT

Multiple evanscent white dot syndrom(MEWDS) has the characteristic clinical, funduscopic, fluorescein angiographic and electrophysiologic findings. The etiology of MEWDS remains unknown. The authors report on two patients with MEWDS. They were young females. Funduscopic examination showed that multiple, white dots are found at the level of the retinal pigment epithelium. These dots extended from macula into mideriphery. Also, the patients had a tiny, granular gray-white dots in the fovea. Fluorescein angiography showed an early hyperfluorescence in the areas corresponding to the white dots with late staining. Two patients had spontaneous recovery of vision in four to seven weeks. They had persistent enlargement of the physiologic blind spot or paracentral scotoma in their visual field, respectively.