Background. Since the description of the “multiple evanescent white dot syndr ome”(MEWDS) by Jampol et al, choroiditis has been in the focus of interest. But the classical type of MEWDS was an exceptional case in clinical routine. Case R eport: A 48-year-old female presented to our hospital with a sudden unilateral visual acuity decrease and an extension of the blind spot. Ophthalmoscopy and fluorescein angiography revealed typical m ultiple grey-white chorioretinal patches of the same stage with lesion areas of about 100-200 μm compatible with the diagnose of MEWDS. Although visual acuit y increased continuously the patient developed a classical choroidal neovascular ization within 4 weeks. She was treated with PDT and visual acuity as well as th e ophthalmoscopic diagnosis remained stable. Conclusion. In spite of visual impr ovement in MEWDS, regular control is recommended. In addition we propose to cons ider the diagnosis of MEWDS if an enlargement of the blind spot and CNV without lesions of the retinal pigment epithelium are diagnosed.
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