Atypical presentation of multiple evanescent white dot syndrome involving granular lesions of varying size.

Abstract

To report an atypical presentation of multiple evanescent white dot syndrome (MEWDS). Observational case report. Review of the clinical, laboratory, photographic, and angiographic records of a patient with MEWDS. A 29-year-old woman presented with 20/400 vision in the right eye associated with multiple, granular lesions of varying sizes (100-1000 microm) in the outer retina, a prominent panuveitis, diffuse choroidal thickening and enlarged blindspot. The multiple lesions and visual disturbances resolved within 4 weeks with corticosteroid treatment, and the patient was diagnosed with MEWDS. Clinicians should be aware of atypical manifestations of MEWDS. The patient's unusual fundoscopic changes and prominent intraocular inflammatory reaction are findings that have not been reported in patients with MEWDS.