What is Multiple Transient White Spot Syndrome?

Multiple transient white dot syndrome, an acute multifocal choroidal retinopathy, occurs in young people with myopia, especially in young women, most often between the ages of 17-44 years, with no racial or genetic predisposition, and most often has an acute onset in one eye, but may involve both eyes. The onset of the disease is often preceded by a history of viral cold or fever, a sudden loss of visual acuity with a visual field defect adjacent to the central concavity, or enlargement of the physiological blind spot, occasional flashes of light, and impaired color vision. The patient’s visual acuity is between 0.5 and 1.0, and the anterior segment of the eye is usually normal. Because the disease is somewhat self-limiting, no treatment is needed, but some immunosuppression, adrenal glucocorticoids, and other treatments are available.