Abstract
BackgroundMultiple evanescent white dot syndrome most often resolves spontaneously without complications; however, choroidal neovascularization can sometimes occur.Case presentationHere, we describe a case of a 22-year-old white Caucasian man with blurred vision in his left eye who exhibited juxtapapillary choroidal neovascularization on optical coherence tomography angiography. Although multiple evanescent white dot syndrome is often self-limiting, to reduce the possibility of an inflammatory reaction, we preferred to administer prednisolone orally. After 3 months, significant regression of juxtapapillary neovascularization was observed by B-scan and optical coherence tomography angiography. Symptoms resolved in 3 months. A steady situation was observed at 4 years of follow-up.ConclusionThis case report highlights the helpful use of optical coherence tomography angiography in daily clinical practice, even in inflammatory diseases, such as atypical juxtapapillary neovascularization in multiple evanescent white dot syndrome. Choroidal neovascularization associated with multiple evanescent white dot syndrome by means of optical coherence tomography angiography showed neovascular activity regression, thus avoiding invasive therapy.
Highlights
Multiple evanescent white dot syndrome most often resolves spontaneously without complications; choroidal neovascularization can sometimes occur.Case presentation: Here, we describe a case of a 22-year-old white Caucasian man with blurred vision in his left eye who exhibited juxtapapillary choroidal neovascularization on optical coherence tomography angiography
optical coherence tomography angiography (OCTA) can highlight the vascular structure in the outer retina, thereby leading to choroidal neovascularization (CNV) diagnosis (Fig. 2E)
Fluorescein angiography (FA) and indocyanine green angiography (ICG) can be as helpful in the diagnosis as fundus FAF, as described by Furino et al [11]
Summary
Multiple evanescent white dot syndrome most often resolves spontaneously without complications; choroidal neovascularization can sometimes occur. Case presentation: Here, we describe a case of a 22-year-old white Caucasian man with blurred vision in his left eye who exhibited juxtapapillary choroidal neovascularization on optical coherence tomography angiography. Multiple evanescent white dot syndrome is often self-limiting, to reduce the possibility of an inflammatory reaction, we preferred to administer prednisolone orally. After 3 months, significant regression of juxtapapillary neovascularization was observed by B-scan and optical coherence tomography angiography. Multiple evanescent white dot syndrome (MEWDS) is an acute chorioretinal inflammatory disorder that is frequently self-limiting.
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