White Dot Syndromes

Nameagelateralityvitritislesion sizeprognosis
MEWDS20-40
RAPD and enlarged blind spot (Disc edema)photopsia
prodromal viral illness
FFA: wreath hyperfluorescent clusters early
Usually outside posterior pole
Orange yellow fovea with granularity
venous sheathing
unilateral1+1/5good
APMPPE20-40 whiteslightly male>female
prodromal viral illness
FFA: early hypo, late hyperfluorescence
bilateral1+1good associated with cerebral vasculitis – need to do MRI if headache
BSCRaka vitiligous retinochoroidopathy30-60 white
don’t become pigmented
bilateral2+
vitritis with CMO
1/4-1/2guarded
PIC20-40
subset of MCP at the macula
get CNVs
Pseudo histo spots – pigment
bilateralrare1/10guarded
MCP30-60
myopic white women
if never found to be active then may be POHS
bilateral2+1/10guarded
POHS20-50 HLA B7 and HLA DR2bilateralnil1/3guarded
Serpiginous30-60 white DDx toxo which would have AC reaction: Also syphilis and serpiginoid TBbilateralrareamoeboidpoor

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