Goldburg Samantha R, Adeghate Jennifer, Barile Gaetano R, Kaden Talia R
Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Department of Ophthalmology, Hempstead, NY.
Manhattan Eye, Ear, and Throat Hospital, Northwell Health System Department of Ophthalmology, New York, NY.
Retin Cases Brief Rep. 2024 Aug 2. doi: 10.1097/ICB.0000000000001648.
To report a case of secondary unilateral MEWDS following blunt trauma to the eye.
Observational case report of one patient.
A 25-year-old male initially presented after being hit in the left eye with a football, with visual acuity of 20/50, traumatic iritis, commotio retinae, vitreous hemorrhage, and a large pigment epithelial detachment in the superior macula. He was lost to follow-up for two years before presenting with a sudden decrease in vision. On exam, best corrected VA (BCVA) was counting fingers and clinical exam demonstrated fibrosis in the superior macula, small white lesions around the optic disc and throughout the posterior pole, and ellipsoid zone disruption on OCT. Given the clinical appearance, a diagnosis of Multiple Evanescent White Dot Syndrome was made and the decision was made to observe. Two months later, without treatment, BCVA improved to 20/20, and there was resolution of the white lesions in the posterior pole as well as improved continuity of the ellipsoid zone on OCT.
We describe a case of Multiple Evanescent White Dot Syndrome two years after blunt trauma to the eye; a far longer latency than previously reported cases of MEWDS secondary to blunt trauma.
报告1例眼部钝挫伤后继发单侧多发性一过性白点综合征（MEWDS）的病例。
对1例患者进行观察性病例报告。
一名25岁男性最初因左眼被足球击中后就诊，视力为20/50，伴有外伤性虹膜炎、视网膜震荡、玻璃体出血以及黄斑上方大片色素上皮脱离。他失访了两年，之后视力突然下降前来就诊。检查时，最佳矫正视力（BCVA）为指数，临床检查显示黄斑上方纤维化、视盘周围及整个后极部有小白点病变，光学相干断层扫描（OCT）显示椭圆体带中断。根据临床表现，诊断为多发性一过性白点综合征，并决定进行观察。两个月后，未经治疗，BCVA提高到20/20，后极部白点病变消退，OCT显示椭圆体带连续性改善。
我们描述了1例眼部钝挫伤两年后发生多发性一过性白点综合征的病例；其潜伏期比先前报道的钝挫伤继发MEWDS病例长得多。
