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Alejandro Lopez García Tinajero, Yasha Bobadilla Mayorquin, Deisy Rios Diarte; Clinical Features of Multiple Evanescent White dot Syndrome of Mexican Population in an Ophthalmological Reference Center.. Invest. Ophthalmol. Vis. Sci. 2018;59(9):4205.
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© ARVO (1962-2015); The Authors (2016-present)
The purpose of this study is to describe the clinical findings and epidemiological data of evanescent white dot syndrome in the department of uveitis and ocular immunology of the Instituto de Oftalmologia Conde de Valenciana.
Retrospective study evaluating electronic database of the last 10 years (2007-2017) searching patients with dot syndrome. We correlated the variables: age, gender, laterality, initial symptoms, initial visual acuity, final visual acuity, Weeks of recovery of visual acuity and treatment if they received it.We found 116 patients with the diagnosis of white dot syndrome and we only include patients with multiple evanescent white dot syndrome.
We evaluated a total of 23 eyes of 19 patients, 4 patients were excluded because they didn’t comply with subsequent follow-up appointments. A total of 15 patients were included in this study, 11 female (73.3%) and 4 male (26.6%). The mean age was 34.56 years. The patients were clinically diagnosed. 26.66% of patients started their symptoms with flu-like symptoms.The patients main complain were blurred vision in 60% of the cases, the eye most frequently affected was the left eye (46.66%).The clinical findings were, reaction in the anterior chamber (33.33%), Vitreitis (20%), retroqueratic pigment (20%), optic neurtitis (6.66%), and retinal white spots (99.9%). The average number of days in which white spots disappeared in the posterior segment was 74 days. 26.66% of the patients received initial treatment with topical prednisolone and tropicamide with phenylephrine. 73% of the patients only required observation. Visual acuity was measured with snellen chart, 73.33% presented visual improvement (defined as gaining 2 or more lines in snellen chart), 20% maintained the same vision from their first consulate and 6.6% had decreased visual acuity.
The evanescent multiple white dot syndrome is a pathology that is not frequently diagnosed, perhaps because the first descriptions date from just two decades ago. Its evolution is totally benign in the vast majority of cases but it is important to take it into account in the differential diagnosis of inflammatory entities that involve choriocapilaris and retina and that could have a more torpid course in terms of visual function.
This is an abstract that was submitted for the 2018 ARVO Annual Meeting, held in Honolulu, Hawaii, April 29 - May 3, 2018.
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