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
