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MEWDS (Multiple Evanescent White Dot Syndrome)
- A rare, unilateral, self-limiting inflammatory disease
- Afflicts young women more than men in a 4:1 ratio.
- Patients typically present complaining of
- Sudden, painless, monocular decline in central acuity
- Photopsias-- def. appearance as of sparks or flashes in retinal irritation
- Dyschromatopsia-- def> disorder of color vision
- Central/paracentral scotomas
- Visual acuity usually in the 20/40-20/400
- Fluorescein angiography of active lesions typically demonstrate a "wreath-like" hyperfluorescence of the white dots
- Disease is usually self limited (resolves in weeks to months) with an excellent prognosis.
- There are no known treatment options.
References
Multiple Evanescent White Dot Syndrome (MEWDS): 24 y.o. woman with one week duration of central scotoma, OD.
Presented by Sudeep Pramanik, MD, MBA, Hilary A. Beaver, MD http://webeye.ophth.uiowa.edu/eyeforum/cases/37-MultipleEvanescentWhiteDotSyndromeMEWDS.htm