Runyan T E, Ostberg R C
Ann Ophthalmol. 1977 Dec;9(12):1521-5.
A case of a young man afflicted with falciparum malaria is presented in which the primary ocular finding was a subpigment epithelial hemorrhage involving the macula. Previous reports in the literature concentrate on peripheral and central retinal hemorrhages, almost to the exclusion of choroidal vascular abnormalities. The value of this case lies in the recognition that the choroid can assume an important role in fundus abnormalities associated with malaria, probably on the basis of obstructive phenomena with subsequent ischemic degenerative changes, similar to the process which involves the retinal vessels and central nervous system.
本文报告一例年轻的恶性疟患者，其主要眼部表现为累及黄斑的色素上皮下出血。文献中既往报道主要集中于周边及中心视网膜出血，几乎未涉及脉络膜血管异常。该病例的价值在于认识到脉络膜在与疟疾相关的眼底异常中可能起重要作用，这可能是基于阻塞现象及随后的缺血性退行性改变，类似于累及视网膜血管和中枢神经系统的过程。
