Early Progressive Circumpapillary Lesion as Atypical Presentation of Multiple Evanescent White Dot Syndrome: A Case Report.

Autor: Vela JI; Ophthalmology Department, Hospital de la Santa Creu i de Sant Pau, Barcelona, Spain.; Institut Comtal d'Oftalmologia, Barcelona, Spain.; Universitat Autònoma de Barcelona UAB, Barcelona, Spain., Passabosc CJAM; Ophthalmology Department, Hospital de la Santa Creu i de Sant Pau, Barcelona, Spain.; Universitat Autònoma de Barcelona UAB, Barcelona, Spain., Buil Calvo JA; Ophthalmology Department, Hospital de la Santa Creu i de Sant Pau, Barcelona, Spain.; Universitat Autònoma de Barcelona UAB, Barcelona, Spain.
Jazyk: angličtina
Zdroj: Case reports in ophthalmology [Case Rep Ophthalmol] 2020 Oct 29; Vol. 11 (3), pp. 546-552. Date of Electronic Publication: 2020 Oct 29 (Print Publication: 2020).
DOI: 10.1159/000509721
Abstrakt: Classical clinical findings of multiple evanescent white dot syndrome (MEWDS) include multiple, small white dots scattered throughout the posterior pole, foveal granularity, posterior vitreous cells, and mild optic disc swelling. We describe the case of a 35-year-old man who was admitted to our department with an unusual presentation of MEWDS at the early onset of the disease. A unilateral circumpapillary retinal white spot was observed. Spectral domain optical coherence tomography demonstrated irregularities of the retinal pigment epithelium and disruptions of the outer retinal layers around the optic nerve without other abnormalities. A few days later, the lesion spread centrifugally from the peripapillary region and along the vascular arcades. This distinctive appearance in an early stage of the disease may suggest a disorder other than MEWDS, which can lead to a misdiagnosis and unnecessary treatment.
Competing Interests: The authors have no conflict of interest to declare.
(Copyright © 2020 by S. Karger AG, Basel.)
Databáze: MEDLINE
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