Titre du document / Document title

Persistent indocyanine green angiographic findings in multiple evanescent white dot syndrome

Auteur(s) / Author(s)

YEN Michael T. ⁽¹⁾ ; ROSENFELD Philip J. ⁽¹⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, ETATS-UNIS

Résumé / Abstract

This report describes unique findings of persistent peripapillary and posterior pole hypofluorescence on indocyanine green angiography (ICGA) in multiple evanescent white dot syndrome (MEWDS). A 38-year-old woman experienced a sudden decrease of visual acuity in the left eye. Multiple white lesions were seen on fundus examination. Fluorescein angiography, indocyanine green angiography, and automated perimetry were performed. Fundus appearance and fluorescein angiography were consistent with the diagnosis of MEWDS. Automated perimetry revealed an enlarged blind spot. ICGA revealed a zone of hypofluorescence surrounding the optic disc and throughout the posterior pole. The enlarged blind spot resolved after seven weeks along with the signs and symptoms of MEWDS. Nine months after initial presentation, ICGA revealed persistent peripapillary and posterior pole hypofluorescence. Resolution of the enlarged blind spot and return of vision does not completely correlate with the disappearance of hypofluorescent areas on ICGA. These findings suggest that MEWDS may result in persistent abnormalities in choroidal circulation even after clinical symptoms resolve.

Revue / Journal Title

Ophthalmic surgery and lasers   ISSN 1082-3069   CODEN OSLAF2 

Source / Source

2001, vol. 32, n^o2, pp. 156-158 (8 ref.)

Langue / Language

Anglais

Editeur / Publisher

Slack, Thorofare, NJ, ETATS-UNIS  (1995-2000) (Revue)

Mots-clés anglais / English Keywords

Chorioretinitis ; Pathogenesis ; Eye ; Angiography ; Indocyanine green ; Fluorescence ; Hemodynamics ; Choroid ; Case study ; Human ; Radiologic sign ; Multiple evanescent white dot syndrome ; Eye disease ; Retinopathy ; Uvea disease ; Radiodiagnosis ;

Mots-clés français / French Keywords

Choriorétinite ; Pathogénie ; Oeil ; Angiographie ; Vert indocyanine ; Fluorescence ; Hémodynamique ; Choroïde ; Etude cas ; Homme ; Signe radiologique ; Syndrome des taches blanches multiples évanescentes ; Oeil pathologie ; Rétinopathie ; Uvée pathologie ; Radiodiagnostic ;

Mots-clés espagnols / Spanish Keywords

Coriorretinitis ; Patogenia ; Ojo ; Angiografía ; Verde indocianino ; Fluorescencia ; Hemodinámica ; Coroides ; Estudio caso ; Hombre ; Signo radiológico ; Ojo patología ; Retinopatía ; Uvea patología ; Radiodiagnóstico ;

Localisation / Location

INIST-CNRS, Cote INIST : 14946, 35400009872400.0120