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. 2023 Mar 29;261(8):2257–2264. doi: 10.1007/s00417-023-06032-1

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© The Author(s) 2023

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Fig. 3 — Multimodal imaging (patient #21) demonstrates the importance of different imaging modalities in diagnosing MEWDS, particularly in patients with high myopia. Widefield autofluorescence imaging (A) shows the lesions to be centered on the disc, which is not illustrated in 30° autofluorescence images (B). Fluorescein angiography (C) and widefield pseudo-color images (D) showed only faint lesions. Typical disruption of the ellipsoid band is shown on the macular OCT image (E). Late-phase indocyanine green angiography (30 − 40 min; F, G) shows hypocyanescent dots typical for MEWDS and highlights peripapillary breaks in Bruch’s membrane that are present concurrently. To determine the topography of retinal lesions, a horizontal and vertical line (maximum width) was drawn through the area of the chorioretinal spots on ultra-widefield AF imaging (A)