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Acute Idiopathic Blind Spot Enlargement Without Optic Disc Edema

Acute Idiopathic Blind Spot Enlargement Without Optic Disc Edema Abstract To the Editor. —We read with interest the report by Fletcher et al1 on acute idiopathic blind spot enlargement (AIBSE) without optic disc edema. Using multifocal electroretinographic techniques, these authors postulated that retinal dysfunction was at fault and ascribed their patients' complaints cases to a heretofore undescribed syndrome. We wish to draw attention to the great similarity between this condition and the multiple evanescent white-dot syndrome (MEWDS).2,3Photopsias, scotomata, a predominance among young women, occasional recurrences and bilaterality, electroretinographic abnormalities, and resolution within months are features common to both MEWDS and AIBSE, but fundus and fluorescein angiographic features typical of MEWDS early in the disease process were not described in patients with AIBSE. Several factors may explain this. The funduscopic findings may be very subtle and fleeting,2,3 hence the appropriate term evanescent. Additionally, symptoms and signs of the condition persist after the characteristic white dots fade,2,3 References 1. Fletcher WA, Imes RK, Goodman D, et al: Acute idiopathic blind spot enlargement: A big blind spot syndrome without optic disc edema . Arch Opthalmol 1988;106:44-49.Crossref 2. Jampol LM, Sieving PA, Pugh D, et al: Multiple evanescent white dot syndrome: I. Clinical findings . Arch Ophthalmol 1984;102:671-674.Crossref 3. Aaberg TM, Campo RV, Joffe L: Recurrences and bilaterality in the multiple evanescent white-dot syndrome . Am J Ophthalmol 1985;100:29-37. 4. Nakao K, Isashiki M: Multiple evanescent white dot syndrome . Jpn J Ophthalmol 1986;30:376-384. 5. Mamalis N, Daily M: Multiple evanescent white-dot syndrome . Ophthalmology 1987;94:1209-1212.Crossref 6. Takeda M, Kimura S, Tamiya M: Acute disseminated retinal pigment epitheliopathy . Folia Ophthalmol Jpn 1984;35:2613-2620. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Acute Idiopathic Blind Spot Enlargement Without Optic Disc Edema

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References (9)

Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1988.01060140182005
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor. —We read with interest the report by Fletcher et al1 on acute idiopathic blind spot enlargement (AIBSE) without optic disc edema. Using multifocal electroretinographic techniques, these authors postulated that retinal dysfunction was at fault and ascribed their patients' complaints cases to a heretofore undescribed syndrome. We wish to draw attention to the great similarity between this condition and the multiple evanescent white-dot syndrome (MEWDS).2,3Photopsias, scotomata, a predominance among young women, occasional recurrences and bilaterality, electroretinographic abnormalities, and resolution within months are features common to both MEWDS and AIBSE, but fundus and fluorescein angiographic features typical of MEWDS early in the disease process were not described in patients with AIBSE. Several factors may explain this. The funduscopic findings may be very subtle and fleeting,2,3 hence the appropriate term evanescent. Additionally, symptoms and signs of the condition persist after the characteristic white dots fade,2,3 References 1. Fletcher WA, Imes RK, Goodman D, et al: Acute idiopathic blind spot enlargement: A big blind spot syndrome without optic disc edema . Arch Opthalmol 1988;106:44-49.Crossref 2. Jampol LM, Sieving PA, Pugh D, et al: Multiple evanescent white dot syndrome: I. Clinical findings . Arch Ophthalmol 1984;102:671-674.Crossref 3. Aaberg TM, Campo RV, Joffe L: Recurrences and bilaterality in the multiple evanescent white-dot syndrome . Am J Ophthalmol 1985;100:29-37. 4. Nakao K, Isashiki M: Multiple evanescent white dot syndrome . Jpn J Ophthalmol 1986;30:376-384. 5. Mamalis N, Daily M: Multiple evanescent white-dot syndrome . Ophthalmology 1987;94:1209-1212.Crossref 6. Takeda M, Kimura S, Tamiya M: Acute disseminated retinal pigment epitheliopathy . Folia Ophthalmol Jpn 1984;35:2613-2620.

Journal

Archives of Ophthalmology – American Medical Association

Published: Aug 1, 1988

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