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Clinical Cases
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Multiple Evanescent White Dot Syndrome

Multiple Evanescent White Dot Syndrome - Start  
Multiple Evanescent White Dot Syndrome - End  

Multiple evanescent white dot syndrome is an acute, multifocal, usually unilateral retinopathy that is predominantly seen in 20 to30-year-old healthy females.

Patients present blurred central vision, bothersome photopsias, paracentral scotomas or enlargement of the blind spot, and headaches.

This syndrome is characterized by multiple small gray-white spots at the level of the retinal pigment epithelium in the posterior pole, sparing the fovea.

The white dots disappear spontaneously within 2 months.

Differential Diagnosis

  • Acute macular neuroretinopathy
  • Acute posterior multifocal placoid pigment epitheliopathy
  • Acute retinal pigment epithelitis
  • Acute zonal occult outer retinopathy
  • Birdshot retinochoroidopathy
  • Diffuse unilateral subacute neuroretinitis
  • Toxoplasmosis
Clinical Cases 72 0