ABSTRACT
PURPOSE: Multiple evanescent white dot syndrome (MEWDS) is a self-limiting disease in which reduced visual acuity and retinal changes recover without treatment. It also shows visual field defects including an enlarged blind spot of Mariotte. However the final outcome of the field change has rarely been documented. We therefore retrospectively studied the visual field change in eyes with MEWDS by reviewing the multiple results of automated static perimetry recorded in the clinical course of the disease. SUBJECTS: We reviewed the clinical course of five eyes with MEWDS using the multiple recordings of the Humphrey central 30-2 program taken during their clinical course. RESULTS: The initial findings of perimetry included an enlarged blind spot of Mariotte, depression of the central field, and paracentral scotoma. These field defects recovered within 2 weeks to 4 months. CONCLUSION: Visual field defects as well as vision and retinal changes recover without treatment in eyes with MEWDS.
Subject(s)
Choroid Diseases/diagnosis , Retinal Diseases/diagnosis , Visual Field Tests/methods , Visual Fields , Adolescent , Adult , Choroid Diseases/physiopathology , Female , Humans , Male , Remission, Spontaneous , Retinal Diseases/physiopathology , Retrospective Studies , SyndromeSubject(s)
Epiretinal Membrane/surgery , Eye Infections, Parasitic/surgery , Granuloma/surgery , Retinal Diseases/surgery , Toxocariasis/surgery , Child , Epiretinal Membrane/diagnosis , Epiretinal Membrane/parasitology , Eye Infections, Parasitic/diagnosis , Eye Infections, Parasitic/parasitology , Fluorescein Angiography , Granuloma/diagnosis , Granuloma/parasitology , Humans , Male , Retinal Diseases/diagnosis , Retinal Diseases/parasitology , Tomography, Optical Coherence , Toxocariasis/diagnosis , Toxocariasis/parasitology , VitrectomyABSTRACT
PURPOSE: To examine the cross-sectional structure of a choroidal osteoma using optical coherence tomography. METHODS: Observational case report. A choroidal osteoma in the right eye of a 22-year-old woman was studied with fluorescein and indocyanine green fundus angiograms and optical coherence tomography. RESULTS: The optical coherence tomography showed that a creamy-white lesion in the tumor had an increased reflectivity with a cavernous structure, whereas an orange lesion showed less reflectivity beneath the apparently intact retinal pigment epithelium. The area of less-intense whiteness in the creamy-white lesion showed higher reflectivity at the level of the retinal pigment epithelium, which precluded our viewing the deeper structure of the tumor. CONCLUSION: Optical coherence tomography can demonstrate the cavernous structure of a choroidal osteoma at a selective stage of a tumor's evolution, namely, when the retinal pigment epithelium is atrophied and the ossification is premature.
