Mizuuchi Kazuomi, Saito Wataru, Namba Kenichi, Ishida Susumu
Department of Ophthalmology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Nishi 7, Kita 15, Kita-ku, Sapporo, 060-8638, Japan.
Kaimeido Eye and Dental Clinic, Sapporo, Japan.
J Ophthalmic Inflamm Infect. 2020 Oct 29;10(1):26. doi: 10.1186/s12348-020-00221-3.
To report a patient with multiple evanescent white dot syndrome (MEWDS) complicated by iridocyclitis and vitritis.
A 70-year-old woman developed multiple subretinal white dots, iritis, and diffuse vitreous opacity. Angiographic and macular morphological features were consistent with those of MEWDS. Inflammatory findings including the white dots improved following only topical dexamethasone within 1 month after the initial visit. Best-corrected visual acuity recovered to 1.0 with restored photoreceptor structure.
The presence of iridocyclitis and vitritis, atypical to MEWDS, indicates the concurrent development of panuveitis associated with MEWDS. These results suggest that MEWDS is a clinical entity of uveitis.
报告一例并发虹膜睫状体炎和玻璃体炎的多发性一过性白点综合征（MEWDS）患者。
一名70岁女性出现多个视网膜下白点、虹膜炎和弥漫性玻璃体混浊。血管造影和黄斑形态学特征与MEWDS相符。初诊后1个月内仅局部应用地塞米松，包括白点在内的炎症表现有所改善。最佳矫正视力恢复至1.0，光感受器结构恢复。
MEWDS不典型的虹膜睫状体炎和玻璃体炎的存在表明与MEWDS相关的全葡萄膜炎同时发生。这些结果提示MEWDS是葡萄膜炎的一种临床实体。
