Bonnet M
Arch Ophtalmol Rev Gen Ophtalmol. 1975 Jun-Jul;35(6-7):493-508.
The article is a general review of central areolar choroidal dystrophy based on 24 cases, some of them followed from one year up to six years. Two major points are discussed: the etiology and the natural course. The disease is believed by the author not to be an etiological entity for, if it can occur as a primary maculopathy, it is more often the ultimate stage of another heredo macular degeneration. The visual prognosis depends more upon the location of the lesion than upon its size. Of course the visual prognosis is poor when the atrophy involves the center of the macula, but it is good, at least during several years, when the very center of the fovea is spared off.
本文是基于24例病例对中心性晕轮状脉络膜营养不良的综合综述,其中部分病例随访时间为1年至6年。讨论了两个要点:病因和自然病程。作者认为该疾病并非一个病因明确的实体,因为如果它可作为原发性黄斑病变出现,那么它更常是另一种遗传性黄斑变性的终末期。视觉预后更多地取决于病变的位置而非大小。当然,当萎缩累及黄斑中心时视觉预后较差,但当黄斑中心凹的正中心未受累时,至少在数年期间视觉预后良好。