How do you treat MEWDS?

Since MEWDS is a self-limited disease, with almost all patients regaining good visual acuity within 3-9 weeks, no treatment is recommended. Photopsias and scotomata gradually resolve and the lesions will disappear and may be replaced by mild pigment mottling or chorioretinal scarring.

What causes MEWDS?

The etiology of MEWDS is unknown but is thought to be caused by an autoimmune mechanism triggered by infectious particles. MEWDS leads to inflammatory nonperfusion of the choriocapillaris.

How long does multiple evanescent white dot syndrome last?

MEWDS is a self limited disease with excellent visual recovery within 2-10 weeks. However residual symptoms including photopsia may persist for months.

Can MEWDS come back?

There is a chronic form of MEWDS with evidence of multiple recurrences over many years and involving both eyes. Vision returns to baseline between recurrences in most patients. Some patients complain of visual field disturbances or photopsias even after vision has normalized.

How do you diagnose MEWDS?

Importantly, the use of imaging modalities including fluorescein angiography, basic fundus exam and optical coherence tomography can support and confirm the diagnosis of MEWDS. Currently, treatment is supportive in addition to close monitoring for further exacerbations or new onset of visual symptoms.

What is MEWDS retina?

The multiple evanescent white dot syndrome (MEWDS) is an inflammatory retinal disorder, typically observed in young patients, that is characterized by unilateral visual loss and the presence of small, punctate, yellow-white lesions that involve the outer retina.

Can MEWDS return?

MEWDS appears to involve the outer retina and the RPE/choriocapillaris. It is usually a self-limiting condition with complete visual recovery within a few weeks after the onset, even though it may rarely recur.

Can MEWDS recur?

What is multifocal Choroiditis and Panuveitis?

Multifocal Choroiditis and Panuveitis is a condition characterized by intraocular inflammation and multifocal choroidal lesions occurring in the absence of any known ocular or systemic disease.

Does CSR go away?

Most people will recover within 4-6 months without any need for treatment. CSR which lasts over 12 months. This is very rare but can lead to further changes such as RPE detachment or bullous retinal detachment.

Is multifocal Choroiditis rare?

Background. Multifocal choroiditis (MFC) with panuveitis is a rare, recurrent white dot syndrome affecting myopic women in their third to fourth decades. Symptoms include blurred vision, photopsia, or scotoma [1].

How can you tell the difference between retinitis and Choroiditis?

Retinitis appears as a whitish patch with ill-defined borders. It is superficial, with severe overlying vitritis. In contrast, choroiditis lesions appear as yellow patches, with regular borders, deeper to the retinal vessels, causing mild vitritis.

Is CSR eye serious?

Central serous chorioretinopathy (CSC or CSCR), also known as central serous retinopathy (CSR), is an eye disease that causes visual impairment, often temporary, usually in one eye….

Central serous chorioretinopathy
Specialty	Ophthalmology

Is CSR serious?

In a small number of people, CSR can be chronic, lasting longer than 12 months. In these cases, sight is more at risk because the retinal layers at the back of your eye can become damaged from prolonged swelling. As a result, treatment may be recommended for CSR lasting longer than six months.

How serious is fluid behind the eye?

Fluid behind the retina can sometimes lead to a retinal detachment, pushing the retina away as it collects. This is known as an exudative retinal detachment. If the detachment is not promptly treated and is extensive enough, this can cause permanent vision loss.

How do they remove fluid from behind the eye?

A special cold laser is then focused on the part of the eye responsible for leaking fluid. The cold laser activates the verteporfin, which helps stop the leaking. It may also help prevent future leaks. Thermal laser treatment can also help seal the tissue that’s leaking fluid behind the retina.

How common is multifocal Choroiditis?