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CASE REPORT
Year : 2022  |  Volume : 2  |  Issue : 3  |  Page : 719-721

Centrifugal propagation of the circumpapillary lesion in a patient with atypical multiple evanescent white dot syndrome


Department of Ophthalmology, Hallym University College of Medicine, Kangdong Sacred Heart Hospital, Seoul, South Korea

Correspondence Address:
Dr. Yong-Kyu Kim
Department of Ophthalmology, Hallym University College of Medicine, Kangdong Sacred Heart Hospital, #150 Seongan-ro, Gangdong-gu, Seoul - 05355
South Korea
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_116_22

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A 20-year-old woman presented with central scotoma in her left eye. Whitish retinal spots were observed mainly in the region nasal to the optic disk outside the major vascular arcade. Optical coherence tomography revealed subfoveal outer retinal disruption with hyperreflective material. Retinal spots coalesced into a larger lesion and progressed peripherally. Nasal retinal spots and foveal outer retinal lesion improved spontaneously, and her vision was completely recovered. The current case suggests that sequential sublethal infection of photoreceptors possibly via blood-borne pathogens and spreading to the nearby cells may be the possible alternative mechanism of multiple evanescent white dot syndrome pathophysiology.


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