Ünlü Barbaros Hayrettin, Karti Omer, Bozkurt Oflaz Ayse, Atlay Erk, Saatci Ali Osman
Dokuz Eylul University, Department of Ophthalmology, İzmir, Turkey.
Selcuk University, Department of Ophthalmology, Konya, Turkey.
GMS Ophthalmol Cases. 2025 May 2;15:Doc02. doi: 10.3205/oc000250. eCollection 2025.
We report the same side recurrence of multiple evanescent white dot syndrome (MEWDS) subsequent to 532 nm laser treatment for the macular neovascularization (MNV) associated with the first MEWDS episode.
Retrospective case documentation with the multimodal imaging.
A 24-year-old otherwise healthy woman who was diagnosed as having left MEWDS four years ago was re-examined for a visual disturbance of the duration of one month in the same eye. Fundus evaluation led us to the diagnosis of left extrafoveal inflammatory MNV. Surprisingly, she developed further visual deterioration a month following the uneventful 532 nm laser photocoagulation in her left eye. Fundus examination and multimodal imaging tests confirmed the recurrent MEWDS after full negative laboratory work-up. Visual acuity and fundus changes were improved with the help of a short course oral steroid therapy.
MEWDS can very rarely recur and thermal laser photocoagulation may be a possible triggering factor.
我们报告了在对与首次多发性一过性白点综合征（MEWDS）发作相关的黄斑新生血管（MNV）进行532nm激光治疗后，MEWDS在同侧复发的情况。
采用多模态成像进行回顾性病例记录。
一名24岁身体健康的女性，四年前被诊断为左眼MEWDS，因同一眼出现为期一个月的视觉障碍而接受复查。眼底评估使我们诊断为左眼黄斑中心凹外炎性MNV。令人惊讶的是，在左眼进行532nm激光光凝治疗后一个月，她的视力进一步恶化。眼底检查和多模态成像检查在实验室检查结果完全为阴性后，证实了MEWDS复发。在短期口服类固醇治疗的帮助下，视力和眼底变化得到改善。
MEWDS极少会复发，热激光光凝可能是一个潜在的触发因素。
