Mansour A M, Jampol L M, Packo K H, Hrisomalos N F
Department of Ophthalmology, Northwestern University Medical School, Chicago, IL.
Retina. 1988;8(2):125-31. doi: 10.1097/00006982-198808020-00008.
The authors describe in seven eyes of four patients a form of serpiginous choroiditis beginning in the macula without initial peripapillary activity. Eyes with macular serpiginous choroiditis often had a poor visual prognosis and sometimes developed subretinal neovascularization. Fluorescein angiography of the acute lesions showed hypofluorescence; some cases were thus initially diagnosed as having choroidal ischemia. Fluorescein angiography in one eye, however, suggested that at least some of the hypofluorescence seen acutely in eyes with serpiginous choroiditis is secondary to blocked fluorescence from "opaque" retinal pigment epithelium.
作者在4例患者的7只眼中描述了一种匐行性脉络膜炎，其始于黄斑区，最初不累及视乳头周围。黄斑匐行性脉络膜炎患者的视力预后通常较差，有时会发生视网膜下新生血管形成。急性病变的荧光素血管造影显示低荧光；因此，一些病例最初被诊断为脉络膜缺血。然而，一只眼的荧光素血管造影提示，匐行性脉络膜炎患者急性所见的至少部分低荧光是由“不透明”视网膜色素上皮阻挡荧光所致。
