Multiple evanescent white dot syndrome in older patients.

PURPOSE To report two patients in their seventh decade who exhibited findings consistent with multiple evanescent white dot syndrome. METHODS Case reports of two patients referred for evaluation of decreased vision, visual field loss, and retinal white spots. RESULTS A 60-year-old man and a 67-year-old woman had photopsia, visual field loss, and decreased central visual acuity. Examination disclosed numerous white retinal spots, ranging from 50 to 400 microm, with eventual foveal granularity. Visual field testing showed an enlarged blind spot and peripheral field defects. Fluorescein angiography, electroretinography, and electrooculography results were consistent with multiple evanescent white dot syndrome. Eventually, the retinal lesions resolved in both patients and baseline visual acuity was recovered. CONCLUSION A diagnosis of multiple evanescent white dot syndrome should be considered in patients with retinal findings typical of multiple evanescent white dot syndrome, regardless of age.