- The examination and other diagnostic
findings were thought to be consistent with
inflammatory choroiditis, and sympathetic ophthalmia
vs multiple evanescent white dot syndrome (MEWDS)
seemed most likely.
- As sympathetic ophthalmia was believed
to be the most likely diagnosis, the patient was treated with
prednisone 60 mg po every morning and Pepcid® 20 mg po,
bid.
- One of the consulting specialists (JDMG)
felt the data were consistent with either sympathetic uveitis
vs MEWDS but felt MEWDS was more likely. While the delayed choroidal
filling in areas of RPE discoloration was compatible with sympathetic
uveitis (Ref 14) the wreath-like
pattern of early hyperfluorescence at the margin of the lesions
was suggestive of MEWDS.
FOLLOW-UP
1 WEEK LATER
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