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We report a unique case of bilateral MEWDS with symmetric retinal involvement and periphlebitis in an early adolescent patient. Multimodal imaging confirmed the diagnosis, and systemic workup excluded other inflammatory and infectious causes. The patient was observed without treatment and recovered fully. This report highlights the diagnostic importance of multimodal imaging and awareness of atypical MEWDS presentations in children.<\/jats:p>","DOI":"10.1136\/bcr-2025-267218","type":"journal-article","created":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T18:15:19Z","timestamp":1764785719000},"page":"e267218","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Bilateral multiple evanescent white dot syndrome in an early adolescent patient: an atypical presentation"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-3306-0720","authenticated-orcid":false,"given":"Luis Claudio","family":"Pimentel da Silva","sequence":"first","affiliation":[{"name":"Department of Ophthalmology & Visual Sciences, The University of British Columbia, Vancouver, British Columbia, Canada"},{"name":"Ophthalmology, University of Sao Paulo, Sao Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas J","family":"van Rijssen","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology & Visual Sciences, The University of British Columbia, Vancouver, British Columbia, Canada"},{"name":"Ophthalmology, Leiden University Medical Center, Leiden, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Camila Aparecida","family":"de Almeida Ferreira","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology & Visual Sciences, The University of British Columbia, Vancouver, British Columbia, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matheus Rizzo","family":"de Oliveira","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology & Visual Sciences, The University of British Columbia, Vancouver, British Columbia, 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