Same-side recurrence of unilateral multiple evanescent white dot syndrome following the thermal laser photocoagulation for inflammatory macular neovascularization.

GMS ophthalmology cases Pub Date : 2025-05-02 eCollection Date: 2025-01-01 DOI:10.3205/oc000250

Barbaros Hayrettin Ünlü, Omer Karti, Ayse Bozkurt Oflaz, Erk Atlay, Ali Osman Saatci

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Abstract

Purpose: We report the same side recurrence of multiple evanescent white dot syndrome (MEWDS) subsequent to 532 nm laser treatment for the macular neovascularization (MNV) associated with the first MEWDS episode.

Method: Retrospective case documentation with the multimodal imaging.

Result: A 24-year-old otherwise healthy woman who was diagnosed as having left MEWDS four years ago was re-examined for a visual disturbance of the duration of one month in the same eye. Fundus evaluation led us to the diagnosis of left extrafoveal inflammatory MNV. Surprisingly, she developed further visual deterioration a month following the uneventful 532 nm laser photocoagulation in her left eye. Fundus examination and multimodal imaging tests confirmed the recurrent MEWDS after full negative laboratory work-up. Visual acuity and fundus changes were improved with the help of a short course oral steroid therapy.

Conclusion: MEWDS can very rarely recur and thermal laser photocoagulation may be a possible triggering factor.

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热激光光凝治疗炎性黄斑新生血管后单侧多发消失性白点综合征的同侧复发。

目的：我们报告了532 nm激光治疗黄斑新生血管（MNV）后与第一次MEWDS发作相关的多发性消失性白点综合征（MEWDS）的同一副作用复发。方法：回顾性病例文献与多模态成像。结果：一名24岁的健康女性，四年前被诊断为离开MEWDS，因同只眼睛持续一个月的视力障碍而重新检查。眼底评估使我们诊断为左凹窝外炎性MNV。令人惊讶的是，在对她的左眼进行532纳米激光凝固治疗一个月后，她的视力进一步恶化。眼底检查和多模态影像学检查在完全阴性的实验室检查后证实了复发性MEWDS。在短期口服类固醇治疗的帮助下，视力和眼底变化得到改善。结论：MEWDS极少复发，热激光光凝可能是其诱发因素。

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

GMS ophthalmology cases

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审稿时长

6 weeks