Atypical Presentation of Multiple Evanescent White Dot Syndrome (MEWDS)

Nursal Melda Yenerela*, Beril Kucumena, Ebru Gorguna & Umut Asli Dincaa Yeditepe University Eye Hospital, Istanbul, Turkey† Correspondence: Nursal Melda Yenerel, Yeditepe Universitesi Goz Hastanesi, Sakir Kesebir Sokak No: 28 Balmumcu/Besiktas, Istanbul, TurkeyPurpose: To present fundus autofluorescence (FAF), indocyanine green angiography (ICGA), and microperimetry (MP) findings of a patient with multiple evanescent white dot syndrome (MEWDS). Methods: Observational case report. Results: A 30-year-old woman with blurry vision was referred for evaluation. Fundus examination revealed only foveal granularity. FAF showed hyperautofluorescent spots, although they were not visible clinically. On ICGA, matching areas were hypofluorescent. Microperimetry revealed mean sensitivity decrease. The resolution of the symptoms was followed by disappearance of these spots in FAF and ICGA and increase of mean macular sensitivity in MP. Conclusion: FAF is a noninvasive imaging technique that might help in the differential diagnosis of chorioretinal pathologies.