Raven Meisha L, Ringeisen Alexander L, Yonekawa Yoshihiro, Stem Maxwell S, Faia Lisa J, Gottlieb Justin L
Department of Ophthalmology and Visual Sciences, University of Wisconsin, 600 Highland Ave, Madison, WI 53705 USA.
McPherson Eye Research Institute, Madison, WI USA.
Int J Retina Vitreous. 2017 Mar 20;3:12. doi: 10.1186/s40942-017-0069-8. eCollection 2017.
The white dot syndromes (WDS) are a diverse group of posterior uveitidies that share similar clinical findings but are unique from one another. Multimodal imaging has allowed us to better understand the morphology, the activity and age of lesions, and whether there is CNV associated with these different ocular pathologies. The "white dot syndromes" and their uveitic masqueraders can now be anatomically categorized based on lesion localization. The categories include local uveitic syndromes with choroidal pathology, systemic uveitic syndromes with choroidal pathology, and multifocal choroiditis with outer retinal/choriocapillaris pathology with uveitis and without uveitis. Neoplastic and infectious etiologies are also discussed given their ability to masquerade as WDS.
白点综合征(WDS)是一组多样的后葡萄膜炎,它们具有相似的临床特征,但彼此又各有特点。多模态成像使我们能够更好地了解病变的形态、活动情况和年龄,以及是否存在与这些不同眼部病变相关的脉络膜新生血管(CNV)。“白点综合征”及其葡萄膜炎伪装者现在可以根据病变定位进行解剖学分类。这些类别包括伴有脉络膜病变的局部葡萄膜炎综合征、伴有脉络膜病变的全身性葡萄膜炎综合征,以及伴有外层视网膜/脉络膜毛细血管病变且伴有或不伴有葡萄膜炎的多灶性脉络膜炎。鉴于肿瘤性和感染性病因有伪装成白点综合征的可能,文中也对其进行了讨论。