Idiopathic choroidal neovascularisation as the inaugural sign of multiple evanescent white dot syndrome.

摘要: We report a case of multiple evanescent white dot syndrome (MEWDS) that presented with putative idiopathic choroidal neovascularisation (ICNV) before showing angiographic signs typical MEWDS. A 16-year-old male unilateral metamorphopsias and visual loss in his left eye. ICNV subretinal hemorrhage was diagnosed treated intravitreal Avastin(®). Fifteen days later, regression choriodal neovascularization (CNV) documented together the appearance fluorescein angiography (FA) indocyanine green (ICGA) for MEWDS, included faint mottled FA hyperfluorescence mid-peripheral fundus, irregularly shaped ICGA dark areas intermediate phase were clearly delineated late as well peripapillary hypofluorescence. Fundus examination appeared completely normal during follow-up except CNV noted at initial visit. This demonstrates need to consider diagnosis exclusion until inflammatory causes have been eliminated. In this case, underlying occult condition would missed without data showed MEWDS supported by findings.