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
