Multiple Evanescent White Dot Syndrome: A Case Report and Experience with Corticosteroid Therapy

Multiple evanescent white dot syndrome (MEWDS) is an inflammatory eye disease of the outer retina, retinal pigmented epithelium, choroid presenting with photopsia, loss of vision, and temporal scotoma. The patient was a 31-year-old female with a history of vision loss since 11 days ago (left eye). A...

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Main Authors: Amir Hossein Norooznezhad, Vahid Mohammadzadeh, Sakineh Kadivar, Fariba Ghassemi
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2020-05-01
Series:Iranian Journal of Allergy, Asthma and Immunology
Subjects:
Online Access:https://ijaai.tums.ac.ir/index.php/ijaai/article/view/2508
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author Amir Hossein Norooznezhad
Vahid Mohammadzadeh
Sakineh Kadivar
Fariba Ghassemi
author_facet Amir Hossein Norooznezhad
Vahid Mohammadzadeh
Sakineh Kadivar
Fariba Ghassemi
author_sort Amir Hossein Norooznezhad
collection DOAJ
description Multiple evanescent white dot syndrome (MEWDS) is an inflammatory eye disease of the outer retina, retinal pigmented epithelium, choroid presenting with photopsia, loss of vision, and temporal scotoma. The patient was a 31-year-old female with a history of vision loss since 11 days ago (left eye). At presentation, best-corrected Snellen visual acuity was 20/140 in the Snellen chart. We decided to treat her with short time corticosteroid therapy (0.75 mg/kg/day prednisolone which was tapered in 3 weeks) for any possible rapid recovery of vision. The visual acuity of the involved eye was improved to 20/25 and 20/20, one week and three weeks after starting treatment respectively. Thus, it seems that short-term oral steroids might be an alternative method of management for patients with MEWDS.
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spelling doaj.art-364dc1c3a7084f5aa8265fc57bb516782022-12-22T01:19:02ZengTehran University of Medical SciencesIranian Journal of Allergy, Asthma and Immunology1735-15021735-52492020-05-0119S110.18502/ijaai.v19i(s1.r1).28652508Multiple Evanescent White Dot Syndrome: A Case Report and Experience with Corticosteroid TherapyAmir Hossein Norooznezhad0Vahid Mohammadzadeh1Sakineh Kadivar2Fariba Ghassemi3School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran AND Medical Biology Research Center, Health Technology Institute, Kermanshah University of Medical Sciences, Kermanshah, IranDepartment of Ophthalmology, Stein Eye Institute, UCLA, Los Angeles, California, U.S.A AND Eye Research Center, Farabi Hospital, Tehran University of Medical Sciences, Tehran, IranEye Research Center, Amiralmomenin Eye Hospital, Guilan University of Medical Sciences, Rasht, IranEye Research Center, Farabi Hospital, Tehran University of Medical Sciences, Tehran, Iran AND Department of Retina, Farabi Hospital, Tehran University of Medical Sciences, Tehran, IranMultiple evanescent white dot syndrome (MEWDS) is an inflammatory eye disease of the outer retina, retinal pigmented epithelium, choroid presenting with photopsia, loss of vision, and temporal scotoma. The patient was a 31-year-old female with a history of vision loss since 11 days ago (left eye). At presentation, best-corrected Snellen visual acuity was 20/140 in the Snellen chart. We decided to treat her with short time corticosteroid therapy (0.75 mg/kg/day prednisolone which was tapered in 3 weeks) for any possible rapid recovery of vision. The visual acuity of the involved eye was improved to 20/25 and 20/20, one week and three weeks after starting treatment respectively. Thus, it seems that short-term oral steroids might be an alternative method of management for patients with MEWDS.https://ijaai.tums.ac.ir/index.php/ijaai/article/view/2508InflammationPrednisoloneWhite dot syndromes
spellingShingle Amir Hossein Norooznezhad
Vahid Mohammadzadeh
Sakineh Kadivar
Fariba Ghassemi
Multiple Evanescent White Dot Syndrome: A Case Report and Experience with Corticosteroid Therapy
Iranian Journal of Allergy, Asthma and Immunology
Inflammation
Prednisolone
White dot syndromes
title Multiple Evanescent White Dot Syndrome: A Case Report and Experience with Corticosteroid Therapy
title_full Multiple Evanescent White Dot Syndrome: A Case Report and Experience with Corticosteroid Therapy
title_fullStr Multiple Evanescent White Dot Syndrome: A Case Report and Experience with Corticosteroid Therapy
title_full_unstemmed Multiple Evanescent White Dot Syndrome: A Case Report and Experience with Corticosteroid Therapy
title_short Multiple Evanescent White Dot Syndrome: A Case Report and Experience with Corticosteroid Therapy
title_sort multiple evanescent white dot syndrome a case report and experience with corticosteroid therapy
topic Inflammation
Prednisolone
White dot syndromes
url https://ijaai.tums.ac.ir/index.php/ijaai/article/view/2508
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AT sakinehkadivar multipleevanescentwhitedotsyndromeacasereportandexperiencewithcorticosteroidtherapy
AT faribaghassemi multipleevanescentwhitedotsyndromeacasereportandexperiencewithcorticosteroidtherapy