White Dot Syndrome

Above are photos of both right eye and left eye in a healthy 37-year-old woman. She complained of flashing lights and mild blurring in her vision. Upon clinical evaluation, her vision in the right eye was 20/50 and in the left 20/20. Anterior segment examination of both eyes was normal. In the optical coherence tomography (OCT) image of her right eye, there is patchy irregularity of the ellipsoid zone temporal to the fovea (blue arrows). Her right eye color fundus photo showed white spots in corresponding patches in the retina (yellow arrows). The left fundus photograph was normal. A 24-2 visual field revealed an enlarged blind spot in the right eye (red arrow). The visual field of the left eye was normal. Her diagnosis was multiple evanescent white dot syndrome. No treatment was given as spontaneous improvement was expected. She was asked to return in 4 weeks but did not.