Singh Ravi S J, Tran Lac H, Kim Judy E
Ophthalmic Surg Lasers Imaging Retina. 2013 Sep-Oct;44(5):493-6. doi: 10.3928/23258160-20130909-14.
Acute exudative polymorphous vitelli-form maculopathy (AEPVM) is a rare condition of unclear etiology that has been seen in association with respiratory and viral infections. It has also been reported as a paraneoplastic phenomenon in older individuals. The authors report the first case of AEPVM associated with Lyme disease with over 3.5 years of follow-up. Multimodality serial imaging suggested the lesions began as multiple serous detachments followed by accumulation of photoreceptor outer segments in the subretinal space that gradually resolved over time and gave rise to the characteristic fundus findings at various stages.
急性渗出性多形性卵黄样黄斑病变(AEPVM)是一种病因不明的罕见病症,曾被发现与呼吸道和病毒感染有关。在老年个体中,它也被报道为一种副肿瘤现象。作者报告了首例与莱姆病相关的AEPVM病例,并进行了超过3.5年的随访。多模态系列成像显示,病变最初表现为多个浆液性脱离,随后视网膜下间隙出现光感受器外节堆积,随着时间推移逐渐消退,并在各个阶段产生特征性的眼底表现。