PMID- 28981397 OWN - NLM STAT- MEDLINE DCOM- 20200106 LR - 20200106 IS - 1744-5078 (Electronic) IS - 0927-3948 (Linking) VI - 27 IP - 1 DP - 2019 TI - Multiple Evanescent White Dot Syndrome: A Multimodal Imaging Study of Foveal Granularity. PG - 141-147 LID - 10.1080/09273948.2017.1353104 [doi] AB - PURPOSE: To describe multiple evanescent white dot syndrome (MEWDS)-related foveal granularity features on different imaging modalities. METHODS: Clinical and multi-imaging files from five patients affected by MEWDS were reviewed. Each image set included: blue fundus autofluorescence (BAF), near-infrared fundus autofluorescence (NIR-FAF), spectral-domain optical coherence tomography (SD-OCT), fluorescein (FA), and indocyanine green (ICGA) angiography. Foveal granularity features were analyzed and described for each technique at baseline and follow-up. RESULTS: At baseline, 4/5 patients did not show white dots at funduscopic examination, but all subjects demonstrated hypo-fluorescent lesions on ICGA and areas of increased BAF. In all patients, foveal granularity was detectable on NIR-FAF as an irregular hypo-fluorescent area, persisting during follow-up visits. The corresponding SD-OCT scans revealed outer retinal layers' disruption resolving overtime. CONCLUSIONS: Foveal granularity can be the sole presenting sign of MEWDS. NIR-FAF and SD-OCT should be considered as non-invasive investigations in the detection of MEWDS-related foveal granularity. FAU - Mantovani, Alessandro AU - Mantovani A AUID- ORCID: 0000-0003-3400-1987 AD - a Ophthalmology Unit , Ospedale Valduce , Como , Italy. FAU - Invernizzi, Alessandro AU - Invernizzi A AD - b Eye Clinic, Department of Biomedical and Clinical Science "L. Sacco" , Luigi Sacco Hospital, University of Milan , Milan , Italy. AD - c Save Sight Institute , University of Sydney , Sydney , Australia. FAU - Staurenghi, Giovanni AU - Staurenghi G AD - b Eye Clinic, Department of Biomedical and Clinical Science "L. Sacco" , Luigi Sacco Hospital, University of Milan , Milan , Italy. FAU - Herbort, Carl P Jr AU - Herbort CP Jr AD - d Retinal and inflammatory Eye Diseases , Centre for Ophthalmic Specialized Care (COS), Clinic Montchoisi , Lausanne , Switzerland . AD - e Department of Ophthalmology , University of Lausanne , Lausanne , Switzerland. LA - eng PT - Journal Article DEP - 20171005 PL - England TA - Ocul Immunol Inflamm JT - Ocular immunology and inflammation JID - 9312169 RN - 0 (Coloring Agents) RN - IX6J1063HV (Indocyanine Green) SB - IM MH - Adolescent MH - Adult MH - Coloring Agents/pharmacology MH - Female MH - Fluorescein Angiography/*methods MH - Fovea Centralis/*pathology MH - Fundus Oculi MH - Humans MH - Indocyanine Green/pharmacology MH - Male MH - Middle Aged MH - *Multimodal Imaging MH - Retrospective Studies MH - Tomography, Optical Coherence/*methods MH - White Dot Syndromes/*diagnosis MH - Young Adult OTO - NOTNLM OT - Autofluorescence OT - MEWDS OT - fovea granularity OT - optical coherence tomography OT - uveitis EDAT- 2017/10/06 06:00 MHDA- 2020/01/07 06:00 CRDT- 2017/10/06 06:00 PHST- 2017/10/06 06:00 [pubmed] PHST- 2020/01/07 06:00 [medline] PHST- 2017/10/06 06:00 [entrez] AID - 10.1080/09273948.2017.1353104 [doi] PST - ppublish SO - Ocul Immunol Inflamm. 2019;27(1):141-147. doi: 10.1080/09273948.2017.1353104. Epub 2017 Oct 5.