Rene Y. Choi, MD, PhD, published a case report titled “Multiple Evanescent White Dot Syndrome Presenting in a Patient with Punctate Inner Choroidopathy” in the November 3, 2020, issue of the Journal of VitreoRetinal Disease.
This case study reports a long-standing punctate inner choroidopathy (PIC) presenting with acute-onset multiple evanescent white dot syndrome in a 44-year-old man. PIC is an inflammatory disorder that primarily affects the choroid (the vascular layer of the eye) and the retina, and can lead to vision loss. Multiple evanescent white dot syndrome (MEWDS) is an inflammatory retinal disorder that typically occurs in young patients and is characterized by unilateral vision loss and the presence of small, dotted, yellow-white lesions that involve the outer retina.
In this case, the patient was experiencing a new onset of flashes and a peripheral spot of blurry vision in his right eye. He also had an ocular history of PIC in both eyes. Coexistence of PIC and multiple evanescent white dot syndrome has been rarely reported, and more research is warranted to investigate a possible shared cause.