Fundus Autofluorescence in Multiple Evanescent White Dot Syndrome
A patient complained of photopsia and vision loss in the left eye for two days, with visual acuity of 20/32. Right eye was normal. Funduscopy revealed foveal granularity and gray-white lesions in the posterior pole, mainly temporal to the fovea. The lesions (dots and spots), along with a few other a...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Ophthalmological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2011/807565 |
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| author | Fernando Marcondes Penha Eduardo Vitor Navajas Fábio Bom Aggio Eduardo B. Rodrigues Michel Eid Farah |
| author_facet | Fernando Marcondes Penha Eduardo Vitor Navajas Fábio Bom Aggio Eduardo B. Rodrigues Michel Eid Farah |
| author_sort | Fernando Marcondes Penha |
| collection | DOAJ |
| description | A patient complained of photopsia and vision loss in the left eye for two days, with visual acuity of 20/32. Right eye was normal. Funduscopy revealed foveal granularity and gray-white lesions in the posterior pole, mainly temporal to the fovea. The lesions (dots and spots), along with a few other areas surrounding them, showed hyperautofluorescence on autofluorescence imaging. Fluorescein angiogram (FA) depicted some early hyperfluorescent dots with late staining. Indocyanine green angiogram (ICGA) showed hypofluorescent lesions in a greater number compared with funduscopy, autofluorescence, and FA. Thirty days later, BCVA was 20/20 in both eyes and the complimentary exams were almost normal, despite an ICGA that showed few small hypofluorescent lesions. This case supports the hypothesis that the choroidal involvement occurs primarily in MEWDS, with secondary involvement of the RPE and the neurosensory retina. |
| format | Article |
| id | doaj-art-5025940d56834af391db16cd83a76651 |
| institution | Kabale University |
| issn | 2090-6722 2090-6730 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Ophthalmological Medicine |
| spelling | doaj-art-5025940d56834af391db16cd83a766512025-02-03T01:29:02ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302011-01-01201110.1155/2011/807565807565Fundus Autofluorescence in Multiple Evanescent White Dot SyndromeFernando Marcondes Penha0Eduardo Vitor Navajas1Fábio Bom Aggio2Eduardo B. Rodrigues3Michel Eid Farah4Department of Ophthalmology, Vision Institute (IPEPO), Federal University of São Paulo, 04021-001 São Paulo, SP, BrazilDepartment of Ophthalmology, Vision Institute (IPEPO), Federal University of São Paulo, 04021-001 São Paulo, SP, BrazilDepartment of Ophthalmology, Vision Institute (IPEPO), Federal University of São Paulo, 04021-001 São Paulo, SP, BrazilDepartment of Ophthalmology, Vision Institute (IPEPO), Federal University of São Paulo, 04021-001 São Paulo, SP, BrazilDepartment of Ophthalmology, Vision Institute (IPEPO), Federal University of São Paulo, 04021-001 São Paulo, SP, BrazilA patient complained of photopsia and vision loss in the left eye for two days, with visual acuity of 20/32. Right eye was normal. Funduscopy revealed foveal granularity and gray-white lesions in the posterior pole, mainly temporal to the fovea. The lesions (dots and spots), along with a few other areas surrounding them, showed hyperautofluorescence on autofluorescence imaging. Fluorescein angiogram (FA) depicted some early hyperfluorescent dots with late staining. Indocyanine green angiogram (ICGA) showed hypofluorescent lesions in a greater number compared with funduscopy, autofluorescence, and FA. Thirty days later, BCVA was 20/20 in both eyes and the complimentary exams were almost normal, despite an ICGA that showed few small hypofluorescent lesions. This case supports the hypothesis that the choroidal involvement occurs primarily in MEWDS, with secondary involvement of the RPE and the neurosensory retina.http://dx.doi.org/10.1155/2011/807565 |
| spellingShingle | Fernando Marcondes Penha Eduardo Vitor Navajas Fábio Bom Aggio Eduardo B. Rodrigues Michel Eid Farah Fundus Autofluorescence in Multiple Evanescent White Dot Syndrome Case Reports in Ophthalmological Medicine |
| title | Fundus Autofluorescence in Multiple Evanescent White Dot Syndrome |
| title_full | Fundus Autofluorescence in Multiple Evanescent White Dot Syndrome |
| title_fullStr | Fundus Autofluorescence in Multiple Evanescent White Dot Syndrome |
| title_full_unstemmed | Fundus Autofluorescence in Multiple Evanescent White Dot Syndrome |
| title_short | Fundus Autofluorescence in Multiple Evanescent White Dot Syndrome |
| title_sort | fundus autofluorescence in multiple evanescent white dot syndrome |
| url | http://dx.doi.org/10.1155/2011/807565 |
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