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October 1990

Subretinal Neovascularization Following Multiple Evanescent White-Dot Syndrome

Author Affiliations

Chicago, Ill

Arch Ophthalmol. 1990;108(10):1384-1385. doi:10.1001/archopht.1990.01070120030013

Multiple evanescent white-dot syndrome (MEWDS), a transient disorder of the retina and retinal pigment epithelium (RPE) affecting young adults, presents with the acute onset of decreased visual acuity and paracentral scotomas. Fifty percent of patients provide a history of an influenzalike illness. A fundus examination reveals multiple small gray-white dots at the level of the RPE or deep retina in the near to midperiphery, as well as a granular appearance of foveal pigment. Vitreal cells, disc edema, and an enlarged blind spot may be present. Typically, visual acuity, fundus appearance, and fluorescein angiographic and electrophysiologic findings return to normal in 7 to 10 weeks, although the photopsias, scotomas, and minimal RPE window defects may be present longer. We report the development of subretinal neovascularization (SRNV) in association with MEWDS.

Report of a Case.  —A 32-year-old Greek woman presented with a 5-day history of blurred vision in the left eye, occurring

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