The indocyanine green angiographic appearance in the Multiple Evanescent White Dot Syndrome is described in a young female patient, presenting with bilateral involvement. Multiple hypofluorescent dots in the posterior pole of the right eye, and a hypofluorescent peripapillary ring in both eyes were the characteristic findings at initial examination. Six weeks later, there was only a small, dense, dark ring around both optic nerves.
Conclusion: The ICG angiography suggests a much more extensive choroidal involvement in MEWDS than is indicated by functional evaluation. The hypofluorescence around the optic disc could be related to the persistence of an enlarged blind spot.