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PHOTO ESSAY
Year : 2021  |  Volume : 33  |  Issue : 2  |  Page : 214-216

Fundus fluorescein angiography and optical coherence tomographic characteristics in acute multiple evanescent white dot syndrome


Department of Medical Retina and Neuro-ophthalmology, Lotus Eye Hospital, Salem, Tamil Nadu, India

Correspondence Address:
Dr. Priya Rasipuram Chandrasekaran
Lotus Eye Hospital, Salem - 636 016, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/kjo.kjo_14_21

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A 38-year-old female presented with a best-corrected visual acuity of 20/60 N18 and 20/20 N6. Fundus examination showed multiple yellow-white dots and spots at the posterior pole with disc edema and orange-yellow granularity at fovea. Fundus fluorescein angiography showed dots showing punctate hyperfluorescence and spots showing late staining and disc leakage. Optical coherence tomographic macula showed sub foveal hyperreflective elevated lesion on the retina pigment epithelium extending into the inner retina as far as the outer nuclear layer through disruption of inter digitation zone, ellipsoid zone (EZ), external limiting membrane and hyporeflectivity, and disruption of ELM and EZ corresponding to parafoveal lesions (predominantly spots).


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