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Multiple Evanescent White Dot Syndrome: A Case Report and Experience With Corticosteroid Therapy Publisher Pubmed



Norooznezhad AH1, 2 ; Mohammadzadeh V3, 4 ; Kadivar S5 ; Ghassemi F4, 6
Authors
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Authors Affiliations
  1. 1. School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran
  2. 2. Medical Biology Research Center, Health Technology Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
  3. 3. Department of Ophthalmology, Stein Eye Institute, UCLA, Los Angeles, CA, United States
  4. 4. Eye Research Center, Farabi Hospital, Tehran University of Medical Sciences, P.O.Box: 1336616351, Tehran, Iran
  5. 5. Eye Research Center, Amiralmomenin Eye Hospital, Guilan University of Medical Sciences, Rasht, Iran
  6. 6. Department of Retina, Farabi Hospital, Tehran University of Medical Sciences, Tehran, Iran

Source: Iranian Journal of Allergy# Asthma and Immunology Published:2020


Abstract

Multiple evanescent white dot syndrome (MEWDS) is an inflammatory eye disease of the outer retina, retinal pigmented epithelium, choroid presenting with photopsia, loss of vision, and temporal scotoma. The patient was a 31-year-old female with a history of vision loss since 11 days ago (left eye). At presentation, best-corrected Snellen visual acuity was 20/140 in the Snellen chart. We decided to treat her with short time corticosteroid therapy (0.75 mg/kg/day prednisolone which was tapered in 3 weeks) for any possible rapid recovery of vision. The visual acuity of the involved eye was improved to 20/25 and 20/20, one week and three weeks after starting treatment respectively. Thus, it seems that short-term oral steroids might be an alternative method of management for patients with MEWDS. Copyright ©, May 2020, Iran J Allergy Asthma Immunol. All rights reserved.
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