Multiple Evanescent White Dot Syndrome Presenting in a Patient With Punctate Inner Choroidopathy

Alexander R Walters; Rene Y Choi; Christina J Flaxel

doi:10.1177/2474126420965031

Multiple Evanescent White Dot Syndrome Presenting in a Patient With Punctate Inner Choroidopathy

J Vitreoretin Dis. 2020 Nov 3;5(3):270-274. doi: 10.1177/2474126420965031. eCollection 2021 May-Jun.

Authors

Alexander R Walters¹, Rene Y Choi¹, Christina J Flaxel¹

Affiliation

¹ Casey Eye Institute, Oregon Health & Science University, Portland, OR, USA.

Abstract

Purpose: This work reports a case of long-standing punctate inner choroidopathy (PIC) presenting with acute-onset multiple evanescent white dot syndrome.

Methods: A 44 year-old man presented with new onset of flashes and a peripheral spot of blurry vision in the right eye. His ocular history included PIC in both eyes.

Results: Corrected visual acuities and intraocular pressures were normal. Posterior segment examination of the right eye demonstrated old PIC lesions and new, deep-yellow lesions in the posterior pole and midperiphery. Four months later, these lesions had resolved.

Conclusions: Coexistence of PIC and multiple evanescent white dot syndrome has been rarely reported, and more research is warranted to investigate a possible shared etiology.

Keywords: multiple evanescent white dot syndrome; punctate inner choroidopathy; white dot syndrome.

Publication types

Case Reports