Multimodal Imaging in an Unusual Cluster of Multiple Evanescent White Dot Syndrome
Identifieur interne : 000E85 ( Main/Exploration ); précédent : 000E84; suivant : 000E86Multimodal Imaging in an Unusual Cluster of Multiple Evanescent White Dot Syndrome
Auteurs : Orly Gal-Or [Israël] ; Ethan Priel [Israël] ; Irit Rosenblatt [Israël] ; Shiri Shulman [Israël] ; Michal Kramer [Israël]Source :
- Journal of Ophthalmology [ 2090-004X ] ; 2017.
Abstract
To describe an unusual cluster of multiple evanescent white dot syndrome (MEWDS) encountered within a 3-month period.
This retrospective observation study is comprised of seven patients who presented with MEWDS in a 3-month period in central Israel. Data were collected from patients' medical records on clinical, multimodal imaging, and viral serology findings.
Six women and one man of mean age 31.5 ± 7.2 years. Three reported a precedent viral infection. All had unilateral decreased vision. Funduscopy revealed foveal granularity.
Hyperfluorescent spots on blue autofluorescence (BAF), hypofluorescent spots on indocyanine green angiography, dark lesions on infrared photos, and ellipsoid zone irregularities on spectral domain optical coherence tomography (SD-OCT). Resolution of the spots on BAF correlated with anatomic (SD-OCT) and visual recovery. OCT angiography performed following the convalescence stage demonstrated intact retinal and choroidal flow. Serologic findings were inconclusive.
We report a unique cluster of MEWDS patients presented in a short period of time. SD-OCT findings of ellipsoid zone disruption in combination with other multimodal imaging modalities are outlined meticulously. Recognizing these imaging features along with high index of clinical suspicion is important for the diagnosis of MEWDS. Serologic testing might be considered in future patients.
Url:
DOI: 10.1155/2017/7535320
PubMed: 28584665
PubMed Central: 5444036
Affiliations:
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5126413 Bnei Brak, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>MOR Institute for Medical Data, 5126413 Bnei Brak</wicri:regionArea><wicri:noRegion>5126413 Bnei Brak</wicri:noRegion></affiliation></author><author><name sortKey="Rosenblatt, Irit" sort="Rosenblatt, Irit" uniqKey="Rosenblatt I" first="Irit" last="Rosenblatt">Irit Rosenblatt</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Ophthalmology, Rabin Medical Center-Beilinson Hospital, 4941492 Petach Tikva, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>Department of Ophthalmology, Rabin Medical Center-Beilinson Hospital, 4941492 Petach Tikva</wicri:regionArea><wicri:noRegion>4941492 Petach Tikva</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">MOR Institute for Medical Data, 5126413 Bnei Brak, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>MOR Institute for Medical Data, 5126413 Bnei Brak</wicri:regionArea><wicri:noRegion>5126413 Bnei Brak</wicri:noRegion></affiliation></author><author><name sortKey="Shulman, Shiri" sort="Shulman, Shiri" uniqKey="Shulman S" first="Shiri" last="Shulman">Shiri Shulman</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Ophthalmology, Tel Aviv Sourasky Medical Center, 62431 Tel Aviv, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>Department of Ophthalmology, Tel Aviv Sourasky Medical Center, 62431 Tel Aviv</wicri:regionArea><wicri:noRegion>62431 Tel Aviv</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I4">Sackler School of Medicine, Tel Aviv University, 6997801 Tel Aviv, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>Sackler School of Medicine, Tel Aviv University, 6997801 Tel Aviv</wicri:regionArea><wicri:noRegion>6997801 Tel Aviv</wicri:noRegion></affiliation></author><author><name sortKey="Kramer, Michal" sort="Kramer, Michal" uniqKey="Kramer M" first="Michal" last="Kramer">Michal Kramer</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Ophthalmology, Rabin Medical Center-Beilinson Hospital, 4941492 Petach Tikva, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>Department of Ophthalmology, Rabin Medical Center-Beilinson Hospital, 4941492 Petach Tikva</wicri:regionArea><wicri:noRegion>4941492 Petach Tikva</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">MOR Institute for Medical Data, 5126413 Bnei Brak, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>MOR Institute for Medical Data, 5126413 Bnei Brak</wicri:regionArea><wicri:noRegion>5126413 Bnei Brak</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I4">Sackler School of Medicine, Tel Aviv University, 6997801 Tel Aviv, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>Sackler School of Medicine, Tel Aviv University, 6997801 Tel Aviv</wicri:regionArea><wicri:noRegion>6997801 Tel Aviv</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Ophthalmology</title><idno type="ISSN">2090-004X</idno><idno type="eISSN">2090-0058</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p> To describe an unusual cluster of multiple evanescent white dot syndrome (MEWDS) encountered within a 3-month period. </p></sec><sec><title>Methods</title><p> This retrospective observation study is comprised of seven patients who presented with MEWDS in a 3-month period in central Israel. Data were collected from patients' medical records on clinical, multimodal imaging, and viral serology findings. </p></sec><sec><title>Results</title><p> Six women and one man of mean age 31.5 ± 7.2 years. Three reported a precedent viral infection. All had unilateral decreased vision. Funduscopy revealed foveal granularity. </p></sec><sec><title>Main Imaging Findings</title><p> Hyperfluorescent spots on blue autofluorescence (BAF), hypofluorescent spots on indocyanine green angiography, dark lesions on infrared photos, and ellipsoid zone irregularities on spectral domain optical coherence tomography (SD-OCT). Resolution of the spots on BAF correlated with anatomic (SD-OCT) and visual recovery. OCT angiography performed following the convalescence stage demonstrated intact retinal and choroidal flow. Serologic findings were inconclusive. </p></sec><sec><title>Conclusion</title><p> We report a unique cluster of MEWDS patients presented in a short period of time. SD-OCT findings of ellipsoid zone disruption in combination with other multimodal imaging modalities are outlined meticulously. Recognizing these imaging features along with high index of clinical suspicion is important for the diagnosis of MEWDS. Serologic testing might be considered in future patients.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Polk, T D" uniqKey="Polk T">T. D. Polk</name></author><author><name sortKey="Goldman, E J" uniqKey="Goldman E">E. J. Goldman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jampol, L M" uniqKey="Jampol L">L. M. Jampol</name></author><author><name sortKey="Sieving, P A" uniqKey="Sieving P">P. A. Sieving</name></author><author><name sortKey="Pugh, D" uniqKey="Pugh D">D. Pugh</name></author><author><name sortKey="Fishman, G A" uniqKey="Fishman G">G. A. Fishman</name></author><author><name sortKey="Gilbert, H" uniqKey="Gilbert H">H. 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J. van Kuijk</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Israël</li></country></list><tree><country name="Israël"><noRegion><name sortKey="Gal Or, Orly" sort="Gal Or, Orly" uniqKey="Gal Or O" first="Orly" last="Gal-Or">Orly Gal-Or</name></noRegion><name sortKey="Kramer, Michal" sort="Kramer, Michal" uniqKey="Kramer M" first="Michal" last="Kramer">Michal Kramer</name><name sortKey="Kramer, Michal" sort="Kramer, Michal" uniqKey="Kramer M" first="Michal" last="Kramer">Michal Kramer</name><name sortKey="Kramer, Michal" sort="Kramer, Michal" uniqKey="Kramer M" first="Michal" last="Kramer">Michal Kramer</name><name sortKey="Priel, Ethan" sort="Priel, Ethan" uniqKey="Priel E" first="Ethan" last="Priel">Ethan Priel</name><name sortKey="Rosenblatt, Irit" sort="Rosenblatt, Irit" uniqKey="Rosenblatt I" first="Irit" last="Rosenblatt">Irit Rosenblatt</name><name sortKey="Rosenblatt, Irit" sort="Rosenblatt, Irit" uniqKey="Rosenblatt I" first="Irit" last="Rosenblatt">Irit Rosenblatt</name><name sortKey="Shulman, Shiri" sort="Shulman, Shiri" uniqKey="Shulman S" first="Shiri" last="Shulman">Shiri Shulman</name><name sortKey="Shulman, Shiri" sort="Shulman, Shiri" uniqKey="Shulman S" first="Shiri" last="Shulman">Shiri Shulman</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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