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An Elderly Man with Atypical Multiple Evanescent White Dot Syndrome

A rare occurrence of an atypical case of multiple evanescent white dot syndrome (MEWDS) in a 75-year-old man without viral prodrome or white dots on fundus that presented with acute, severe left eye visual loss, which returned to baseline without treatment in several weeks. Multimodal imaging, inclu...

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Autores principales: Wang, Liang, Lankry, Polina, Rabinovitch, David, Gallo, Ryan, Laiginhas, Rita, Iyer, Prashanth, Shulman, Shiri, Trivizki, Omer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9710463/
https://www.ncbi.nlm.nih.gov/pubmed/36466057
http://dx.doi.org/10.1159/000526583
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author Wang, Liang
Lankry, Polina
Rabinovitch, David
Gallo, Ryan
Laiginhas, Rita
Iyer, Prashanth
Shulman, Shiri
Trivizki, Omer
author_facet Wang, Liang
Lankry, Polina
Rabinovitch, David
Gallo, Ryan
Laiginhas, Rita
Iyer, Prashanth
Shulman, Shiri
Trivizki, Omer
author_sort Wang, Liang
collection PubMed
description A rare occurrence of an atypical case of multiple evanescent white dot syndrome (MEWDS) in a 75-year-old man without viral prodrome or white dots on fundus that presented with acute, severe left eye visual loss, which returned to baseline without treatment in several weeks. Multimodal imaging, including fluorescein angiography (FA), fundus autofluorescence (FAF), indocyanine green angiography (ICG), and optical coherence tomography (OCT) demonstrated classical presentation of MEWDS with wreath-like lesions and inflammatory foci in the retinal pigment epithelium that correlated among modalities. Possible underlying systemic disorders were ruled out through extended work up. To the best of our knowledge, this is the first report to show atypical MEWDS in an elderly man with classic changes on FA, FAF, ICG, and OCT.
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spelling pubmed-97104632022-12-01 An Elderly Man with Atypical Multiple Evanescent White Dot Syndrome Wang, Liang Lankry, Polina Rabinovitch, David Gallo, Ryan Laiginhas, Rita Iyer, Prashanth Shulman, Shiri Trivizki, Omer Case Rep Ophthalmol Case Report A rare occurrence of an atypical case of multiple evanescent white dot syndrome (MEWDS) in a 75-year-old man without viral prodrome or white dots on fundus that presented with acute, severe left eye visual loss, which returned to baseline without treatment in several weeks. Multimodal imaging, including fluorescein angiography (FA), fundus autofluorescence (FAF), indocyanine green angiography (ICG), and optical coherence tomography (OCT) demonstrated classical presentation of MEWDS with wreath-like lesions and inflammatory foci in the retinal pigment epithelium that correlated among modalities. Possible underlying systemic disorders were ruled out through extended work up. To the best of our knowledge, this is the first report to show atypical MEWDS in an elderly man with classic changes on FA, FAF, ICG, and OCT. S. Karger AG 2022-11-17 /pmc/articles/PMC9710463/ /pubmed/36466057 http://dx.doi.org/10.1159/000526583 Text en Copyright © 2022 by The Author(s). Published by S. Karger AG, Basel https://creativecommons.org/licenses/by-nc/4.0/This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Case Report
Wang, Liang
Lankry, Polina
Rabinovitch, David
Gallo, Ryan
Laiginhas, Rita
Iyer, Prashanth
Shulman, Shiri
Trivizki, Omer
An Elderly Man with Atypical Multiple Evanescent White Dot Syndrome
title An Elderly Man with Atypical Multiple Evanescent White Dot Syndrome
title_full An Elderly Man with Atypical Multiple Evanescent White Dot Syndrome
title_fullStr An Elderly Man with Atypical Multiple Evanescent White Dot Syndrome
title_full_unstemmed An Elderly Man with Atypical Multiple Evanescent White Dot Syndrome
title_short An Elderly Man with Atypical Multiple Evanescent White Dot Syndrome
title_sort elderly man with atypical multiple evanescent white dot syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9710463/
https://www.ncbi.nlm.nih.gov/pubmed/36466057
http://dx.doi.org/10.1159/000526583
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