Optic disc pit: A trigger for secondary multiple evanescent white dot syndrome.

Q3 Medicine

Retinal Cases and Brief Reports Pub Date : 2025-04-23 DOI:10.1097/ICB.0000000000001771

Shivesh Varma, Royce W S Chen, Jeffrey M Liebmann, Lawrence A Yannuzzi

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引用次数: 0

Abstract

Purpose: We describe a case of secondary multiple evanescent white dot syndrome (MEWDS) with optic disc pit as the underlying triggering pathology.

Methods: Observational case report.

Results: A 41-year-old well man with a background of right optic disc pit presented with right eye loss of vision and photopsia. Visual acuity at presentation was 20/100. He was found to have clinical and multimodal imaging features consistent with right unilateral MEWDS, and the spatial distribution of lesions made it likely that the optic disc pit was the trigger. Fundus autofluorescence revealed hyperautofluorescent 'spots' that gradually faded over serial imaging, with the complete absence of hyperautofluorescent 'dots'. Over three months of follow-up visual acuity recovered to 20/25.

Conclusion: Optic disc pit may act as a trigger for secondary MEWDS, which is an increasingly recognized epiphenomenon. Secondary MEWDS may present as 'spots without dots', and we hypothesize that this feature may differentiate it from primary MEWDS.

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视盘窝：继发性多发消失性白点综合征的诱因。

目的：我们报告一例以视盘凹陷为潜在诱发病理的继发性多发性消失性白点综合征（MEWDS）。方法：观察性病例报告。结果：41岁男性，右侧视盘凹陷背景，表现为右眼视力减退、失光。就诊时视力为20/100。他的临床和多模态影像学特征与右侧单侧MEWDS一致，病变的空间分布表明视盘凹可能是触发因素。眼底自体荧光显示超自体荧光“斑点”，在连续成像过程中逐渐消失，完全没有超自体荧光“点”。随访3个月后，视力恢复到20/25。结论：视盘凹陷可能是继发性MEWDS的触发因素，这是一种越来越被认可的附带现象。继发性MEWDS可能表现为“无点的斑点”，我们假设这一特征可能与原发性MEWDS有所区别。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Retinal Cases and Brief Reports Medicine-Ophthalmology

CiteScore

2.10

自引率

0.00%

发文量

342