Lampariello D A
New England College of Optometry, Boston, MA 02115.
J Am Optom Assoc. 1992 Feb;63(2):112-6.
Geographic (serpiginous) choroiditis, also known as Geographic Helicoid Peripapillary Choroidopathy, is a rare, chronic, and progressive, bilateral disorder primarily involving the choriocapillaris, retinal pigment epithelium, and the overlying sensory retina. Progression typically occurs as pseudopodial extensions away from the optic discs and usually infringes upon the macula and foveal region. The disease occurs fairly acutely, in young to middle age patients with no sexual predilection. These patients commonly present with sudden, painless vision loss in one eye, which later, most likely will affect the other eye. The disease is always bilateral, but usually asymmetrical in appearance. It presents with active and inactive stages. The etiology is essentially unknown. This paper will present a case of geographic choroidopathy with differential diagnosis considerations and appropriate optometric management.
地图样（匐行性）脉络膜炎，又称地图样螺旋状视乳头周围脉络膜病变，是一种罕见的、慢性进行性双侧疾病，主要累及脉络膜毛细血管、视网膜色素上皮及上方的感觉视网膜。病情进展通常表现为从视盘向外的伪足样延伸，常侵犯黄斑和中央凹区域。该疾病起病较急，好发于中青年，无性别倾向。这些患者通常表现为单眼突然无痛性视力丧失，随后很可能累及另一只眼。该病总是双侧发病，但外观通常不对称。它有活动期和静止期。病因基本不明。本文将介绍一例地图样脉络膜病变病例，并探讨鉴别诊断及适当的验光处理。
