Arbet T P
Rock Island Optometric Center, Rock Island, Illinois, USA.
J Am Optom Assoc. 1997 Dec;68(12):769-74.
Multiple evanescent white dot syndrome is a benign, rare, acute, usually unilateral disease that primarily affects young women. Retinal findings can include white dots at the level of the retinal pigment epithelium, optic nerve head swelling, an enlarged blind spot, and paracentral and central scotomas. Visual loss can be significant early on, but almost always returns to normal. The cause is unknown.
A case of a 32-year-old woman with multiple evanescent white dot syndrome is presented and reviewed. The progression, symptoms, and differential diagnosis of multiple evanescent white dot syndrome are reviewed.
The diagnosis of multiple evanescent white dot syndrome should be considered in young patients who manifest acute unilateral vision loss or photopsia. This is particularly important if there is unilateral disk swelling and blind-spot enlargement.
多发性一过性白点综合征是一种良性、罕见、急性起病、通常为单侧发病的疾病，主要影响年轻女性。视网膜表现可包括视网膜色素上皮层的白点、视神经乳头水肿、盲点扩大以及旁中心和中心暗点。早期视力丧失可能很明显，但几乎总能恢复正常。病因不明。
本文报告并回顾了一例32岁患有多发性一过性白点综合征的女性病例。对多发性一过性白点综合征的病程、症状及鉴别诊断进行了回顾。
对于出现急性单侧视力丧失或闪光幻觉的年轻患者，应考虑多发性一过性白点综合征的诊断。如果存在单侧视盘肿胀和盲点扩大，这一点尤为重要。
