Ophthalmology WHITE DOTS

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Author:
angelletta
ID:
111571
Filename:
Ophthalmology WHITE DOTS
Updated:
2011-11-01 13:07:41
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WHITE DOTS
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Description:
WHITE DOT SYNDROMES
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  1. APMPPE stands for
    Acute Posterior Multifocal Placoid Pigment Epitheliopathy

  2. Describe the above pictures A-D and the name the WHITE DOT SYNDROME.
    A) small and large spots scattered through the fundus in the .

    B) Fluorescein angiography shows punctate hyperfluorescence wreathlike.

    C) Indocyanine green video-angiography demonstrates small and large hypofluorescent spots

    • D) One month later, the spots in the fundus had disappeared, and visual acuity recovered.
    • Early hyperflouresecence wreath-like

    MEWDS- Multiple Evansecent White Dot Syndrome
  3. All white dots syndromes are bilateral except
    • MEWDS:
    • Multiple Evansecent White Dot Syndrome
  4. APMPPE (Acute Posterior Multifocal Placoid Pigment Epitheliopathy)

    -AGE affected
    Young Adults (2nd-3rd decade)
  5. APMPPE (Acute Posterior Multifocal Placoid Pigment Epitheliopathy)

    SEX predilection
    males = females
  6. Which WHITE DOT SYNDROMES are associated with a viral prodrome?
    APMPPE (Acute Posterior Multifocal Placoid Pigment Epitheliopathy)

    MEWDS (Multiple Evansecent White Dot Syndrome)
  7. Which WHITE DOT SYNDROMES is associated with CEREBRAL VASCULITIS?
    • APMPPE
    • (Acute Posterior Multifocal Placoid Pigment Epitheliopathy)
  8. CREAMY YELLOW PLACOID LESIONS IN POSTERIOR POLE at level of RPE or CHOROID
    • APMPPE
    • (Acute Posterior Mulitfocal Placoid Pigment Epitheliopathy)
  9. This following FA finding is associated with

    FA: EARLY HYPOFLOURESCENCE (BLOCKAGE) AND LATE STAINING
    APMPPE

    (Acute Posterior Multifocal Placoid Pigment Epitheliopathy)

    SEPIGINOUS CHORIDOPATHY-- (DIFFERENCES IS THIS ONE IS CHRONIC/RECURRENT.)

  10. Describe the above pictures A-D and the name the WHITE DOT SYNDROME.
    A) CREAMY YELLOW PLACOID LESIONS

    B) EARLY HYPOFLOURESCENCE (BLOCKAGE) AND LATE STAINING

    C &D) LATE STAINING

    APMPPE
  11. This following FA finding is associated with

    FA: EARLY MULTIPLE PUNCTATE HYPERFLUORESECENT SPOTS IN WREATHLIKE CLUSTER
    AND LATE STAINING
    MEWDS- Multiple Evansecent White Dot Syndrome
  12. WHICH WHITE DOT SYNDROME IS THE

    ERG FINDING DIMINISHED-

    A WAVE REDUCED --
    MEWDS- Multiple Evansecent White Dot Syndrome

    BIRD SHOT
  13. WHICH WHITE DOT HAS AN ENLARGED BLIND SPOT?
    MEWDS- Multiple Evansecent White Dot Syndrome

    MULTIFOCAL CHORIODITIS
  14. WHICH WHITE DOT HAS AN 100% VITRITIS?
    • BIRDSHOT
    • MULTIFOCAL CHORODITIS
  15. MOST COMMON CAUSE OF VISUAL LOSS IS CNV.

    WHICH WHITE DOT SYNDROME?
    MULTIFOCAL CHOROIDITIS
  16. CNV FOUND IN WHICH 4 WHITE DOTS SYNDROMES?
    -SERPIGINOUS (RARE)

    -BIRDSHOT (RARE)

    -MULTIFOCAL CHORODITIS MCC VISUAL LOSS

    PIC- PUNCTATE INNER CHOROIDOPATHY
  17. Which white dot has multiple yellow lesions which later evolve into chororetinal scars similar to punched out lesions similar to Histoplasmosis?
    Multifocal Choroiditis
  18. Associated with HLA B 29
    BIRDSHOT
  19. Young myopic women
    PIC-PUNTATE INNER CHORIDOPATHY (MCC)

    MEWDS

    Mulitfocal chorditis
  20. WHICH WHITE DOT SYNDROME HAS Male=Female
    • APMPPE
    • SERPIGINOUS
  21. FOVEAL GRANULARITY is PATHOGNOMIC
    MEWDS
  22. FA: retinal optic nerve head capillary leakage
    ERG: Decreased rod cone amplitudes both scotopic and photopic
    Scotoma
    EXAM: large zones of RPE atrophy corresponding with scotoma
    Acute Zonal Occult Outer Retinopathy
  23. BIRDSHOT
  24. Finding in birdshot
    • CME
    • CNV
    • Disc edema
  25. MCP findings
    • vitritis
    • disc edema
    • peripapillary pigment (similar to POHS
    • CME
    • CNVM
    • atrophic scars
    • guarded vision
  26. Which WHITE DOTS arent associated with a vitritis
    PIC
  27. Describe PIC fundus findings
    • yellow white chorioretinal lesions that do not extend into the periphery
    • serious RD over lesion
  28. What is acute retinal pigment epitheliitis
    age
    laterality
    retinal findings
    treatment
    • AKA Krill Dz; benign self limiting inflammatory disorder of RPE
    • 16-40
    • unilateral
    • hyperpigmented lesion with yellow halo in posterior pole, no vitritis
    • central scotoma
    • abnl EOG
    • No treatment required

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