Last additions - Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement 33-year-old woman who I saw in the office on December 10, 2008. One week ago she awoke and saw a red spots flashing out of her right eye. She notices them to the right side, which is the temporal visual field out of the right eye, then they changed to bursts of white lights without colors and then she notices straight ahead a couple spots. She has headaches in the back of her head. She had an MRI done in the emergency room, which was fine and comes in for an evaluation because of the vision change in the right eye.
VISUAL ACUITY: OD 20/20, OS 20/20. IOP: OD 11, OS 12.
SLIT EXAMINATION: The lens is clear in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.0. There is 1+ vitreous cells. There are a few subtle white spots in the retina, predominately clustered around the nerve.
OS: Vertical C/D ration is 0.0. There is no posterior vitreous separation. Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAM: The fluorescein angiogram shows a blush of fluorescein around the optic nerve in the right eye, which looks to be deep, without leakage. The optic nerve does not leak. There is no retinovasculitis. The left eye looked angiographically normal. I obtained a visual field test, which shows a normal visual field in both eyes.
IMPRESSION:
1. LOW-GRADE MULTIPLE EVANESCENT AND WHITE DOT SYNDROME – RIGHT EYE
DISCUSSION: I explained to the patient that findings are consistent with multiple evanescent and white dot syndrome. She looks to have a very mild case of it and I suspect this will reverse with time. I did ask her to return for a check in about six weeks or sooner should she notice a problem and see you regularly.
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Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement700 views33-year-old woman one week ago she awoke and saw a red spots flashing out of her right eye. She notices them to the right side, which is the temporal visual field out of the right eye, then they changed to bursts of white lights without colors and then she notices straight ahead a couple spots. She has headaches in the back of her head. OD 20/20, OS 20/20Nov 30, 2010
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Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement667 views33-year-old woman one week ago she awoke and saw a red spots flashing out of her right eye. She notices them to the right side, which is the temporal visual field out of the right eye, then they changed to bursts of white lights without colors and then she notices straight ahead a couple spots. She has headaches in the back of her head. OD 20/20, OS 20/20Nov 30, 2010
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Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement750 views33-year-old woman one week ago she awoke and saw a red spots flashing out of her right eye. She notices them to the right side, which is the temporal visual field out of the right eye, then they changed to bursts of white lights without colors and then she notices straight ahead a couple spots. She has headaches in the back of her head. OD 20/20, OS 20/20Nov 30, 2010
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Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement564 views33-year-old woman one week ago she awoke and saw a red spots flashing out of her right eye. She notices them to the right side, which is the temporal visual field out of the right eye, then they changed to bursts of white lights without colors and then she notices straight ahead a couple spots. She has headaches in the back of her head. OD 20/20, OS 20/20Nov 30, 2010
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Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement593 views33-year-old woman one week ago she awoke and saw a red spots flashing out of her right eye. She notices them to the right side, which is the temporal visual field out of the right eye, then they changed to bursts of white lights without colors and then she notices straight ahead a couple spots. She has headaches in the back of her head. OD 20/20, OS 20/20Nov 30, 2010
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Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement559 views33-year-old woman one week ago she awoke and saw a red spots flashing out of her right eye. She notices them to the right side, which is the temporal visual field out of the right eye, then they changed to bursts of white lights without colors and then she notices straight ahead a couple spots. She has headaches in the back of her head. OD 20/20, OS 20/20Nov 30, 2010
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Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement587 views33-year-old woman one week ago she awoke and saw a red spots flashing out of her right eye. She notices them to the right side, which is the temporal visual field out of the right eye, then they changed to bursts of white lights without colors and then she notices straight ahead a couple spots. She has headaches in the back of her head. OD 20/20, OS 20/20Nov 30, 2010
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Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement503 views33-year-old woman one week ago she awoke and saw a red spots flashing out of her right eye. She notices them to the right side, which is the temporal visual field out of the right eye, then they changed to bursts of white lights without colors and then she notices straight ahead a couple spots. She has headaches in the back of her head. OD 20/20, OS 20/20Nov 30, 2010
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Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement490 views33-year-old woman one week ago she awoke and saw a red spots flashing out of her right eye. She notices them to the right side, which is the temporal visual field out of the right eye, then they changed to bursts of white lights without colors and then she notices straight ahead a couple spots. She has headaches in the back of her head. OD 20/20, OS 20/20Nov 30, 2010
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Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement543 views33-year-old woman one week ago she awoke and saw a red spots flashing out of her right eye. She notices them to the right side, which is the temporal visual field out of the right eye, then they changed to bursts of white lights without colors and then she notices straight ahead a couple spots. She has headaches in the back of her head. OD 20/20, OS 20/20Nov 30, 2010
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Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement613 views33-year-old woman one week ago she awoke and saw a red spots flashing out of her right eye. She notices them to the right side, which is the temporal visual field out of the right eye, then they changed to bursts of white lights without colors and then she notices straight ahead a couple spots. She has headaches in the back of her head. OD 20/20, OS 20/20Nov 30, 2010
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Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement680 views33-year-old woman one week ago she awoke and saw a red spots flashing out of her right eye. She notices them to the right side, which is the temporal visual field out of the right eye, then they changed to bursts of white lights without colors and then she notices straight ahead a couple spots. She has headaches in the back of her head. OD 20/20, OS 20/20Nov 30, 2010
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Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement657 views33-year-old woman one week ago she awoke and saw a red spots flashing out of her right eye. She notices them to the right side, which is the temporal visual field out of the right eye, then they changed to bursts of white lights without colors and then she notices straight ahead a couple spots. She has headaches in the back of her head. OD 20/20, OS 20/20Nov 30, 2010
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Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement653 views33-year-old woman one week ago she awoke and saw a red spots flashing out of her right eye. She notices them to the right side, which is the temporal visual field out of the right eye, then they changed to bursts of white lights without colors and then she notices straight ahead a couple spots. She has headaches in the back of her head. OD 20/20, OS 20/20Nov 30, 2010
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Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement689 views33-year-old woman one week ago she awoke and saw a red spots flashing out of her right eye. She notices them to the right side, which is the temporal visual field out of the right eye, then they changed to bursts of white lights without colors and then she notices straight ahead a couple spots. She has headaches in the back of her head. OD 20/20, OS 20/20Nov 30, 2010
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Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement712 views33-year-old woman one week ago she awoke and saw a red spots flashing out of her right eye. She notices them to the right side, which is the temporal visual field out of the right eye, then they changed to bursts of white lights without colors and then she notices straight ahead a couple spots. She has headaches in the back of her head. OD 20/20, OS 20/20Nov 30, 2010
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Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement798 views33-year-old woman one week ago she awoke and saw a red spots flashing out of her right eye. She notices them to the right side, which is the temporal visual field out of the right eye, then they changed to bursts of white lights without colors and then she notices straight ahead a couple spots. She has headaches in the back of her head. OD 20/20, OS 20/20Nov 30, 2010
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Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement845 views33-year-old woman one week ago she awoke and saw a red spots flashing out of her right eye. She notices them to the right side, which is the temporal visual field out of the right eye, then they changed to bursts of white lights without colors and then she notices straight ahead a couple spots. She has headaches in the back of her head. OD 20/20, OS 20/20Nov 30, 2010
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Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement971 views33-year-old woman one week ago she awoke and saw a red spots flashing out of her right eye. She notices them to the right side, which is the temporal visual field out of the right eye, then they changed to bursts of white lights without colors and then she notices straight ahead a couple spots. She has headaches in the back of her head. OD 20/20, OS 20/20Nov 30, 2010
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Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement844 views33-year-old woman one week ago she awoke and saw a red spots flashing out of her right eye. She notices them to the right side, which is the temporal visual field out of the right eye, then they changed to bursts of white lights without colors and then she notices straight ahead a couple spots. She has headaches in the back of her head. OD 20/20, OS 20/20Nov 30, 2010
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33-year-old woman who I saw in the office on December 10, 2008. One week ago she awoke and saw a red spots flashing out of her right eye. She notices them to the right side, which is the temporal visual field out of the right eye, then they changed to bursts of white lights without colors and then she notices straight ahead a couple spots. She has headaches in the back of her head. She had an MRI done in the emergency room, which was fine and comes in for an evaluation because of the vision change in the right eye.
VISUAL ACUITY: OD 20/20, OS 20/20. IOP: OD 11, OS 12.
SLIT EXAMINATION: The lens is clear in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.0. There is 1+ vitreous cells. There are a few subtle white spots in the retina, predominately clustered around the nerve.
OS: Vertical C/D ration is 0.0. There is no posterior vitreous separation. Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAM: The fluorescein angiogram shows a blush of fluorescein around the optic nerve in the right eye, which looks to be deep, without leakage. The optic nerve does not leak. There is no retinovasculitis. The left eye looked angiographically normal. I obtained a visual field test, which shows a normal visual field in both eyes.
IMPRESSION:
1. LOW-GRADE MULTIPLE EVANESCENT AND WHITE DOT SYNDROME – RIGHT EYE
DISCUSSION: I explained to the patient that findings are consistent with multiple evanescent and white dot syndrome. She looks to have a very mild case of it and I suspect this will reverse with time. I did ask her to return for a check in about six weeks or sooner should she notice a problem and see you regularly.
