Goen T M, Terry J E
J Am Optom Assoc. 1987 Feb;58(2):112-7.
The pathogenesis of acute posterior multifocal placoid pigment epitheliopathy (APMPPE) is not fully understood. Some believe it to be a primary dysfunction of the retinal pigment epithelium while others assume that its development follows a choroidal vasculitis. It generally presents as a bilateral condition and shows no sex predilection. The visual prognosis is generally good, though severe and permanent visual loss occasionally occurs. The funduscopic presentation consists of multiple flat, yellow-white lesions of the posterior pole at the level of the retinal pigment epithelium. This paper discusses a case of APMPPE and reviews and summarizes the current literature on this disorder.
急性后极部多灶性鳞状色素上皮病变（APMPPE）的发病机制尚未完全明确。一些人认为它是视网膜色素上皮的原发性功能障碍，而另一些人则认为其发展继发于脉络膜血管炎。该病通常呈双侧性，无性别倾向。尽管偶尔会出现严重且永久性的视力丧失，但总体视力预后良好。眼底表现为后极部视网膜色素上皮水平的多个扁平、黄白色病变。本文讨论了一例APMPPE病例，并对有关该疾病的当前文献进行了回顾和总结。
