Fundal white dots: the spectrum of a similar pathological process.
نویسندگان
چکیده
The intermittent appearance and subsequent vanishing of subtle white dots observed in otherwise healthy young women was described as a specific clinical entity and given the name multiple evanescent white dot syndrome (MEWDS). Although originally reported as a relatively benign phenomenon without sequelae,' choroidal neovascularisation and affection of the visual acuity were later described.2 3 Because the white dots in MEWDS were clinically believed to be observed mostly at the level of the pigment epithelium, it was suggested that the pathogenesis of this condition is an underlying dysfunction of the pigment epithelium and/or pigment epithelium-photoreceptor complex.4 5 White dots of variable sizes and configurations are frequently observed in many uveitic entities where the choroid is involved in the inflammatory process. Moreover, on careful follow up, evanescence of these white dots is observed in most (if not all) of these cases6 (see Fig le and f). Thus, the fact that 'multiple evanescent white dots' occur in many conditions suggests that the white dot may be an expression of a general phenomenon. The pathological sequelae and clinical outcome of white dots, however, are variable. These most probably depend,
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ورودعنوان ژورنال:
- The British journal of ophthalmology
دوره 79 9 شماره
صفحات -
تاریخ انتشار 1995