Faurschou S, Rosenberg T, Nielsen N
Acta Ophthalmol (Copenh). 1977 Jun;55(3):515-24. doi: 10.1111/j.1755-3768.1977.tb06129.x.
The clinical syndromes central serous retinopathy (RCS) and presenile exudative disciform macular degeneration (PEDMD) are well known, but the causes of the pathophysiological and pathoanatomical changes in the choriocapillaris, Bruch's membrane and pigment epithelium as predisposing factors are unknown. Apparently these two degenerative macular conditions are different. However, they possibly represent two manifestations of the same nosological entity, which is initially dominated by a subretinal exudation in the macular region. It is therefore also reasonable to consider that RCS can be part of, or an initial stage of PEDMD. In the present study these possibilities have been demonstrated by a follow-up examination, using among other things fluorescein angiography of a selective material of 20 patients with RCS. In addition, it is shown that RCS can be a more serious condition with regard to the central vision than is generally accepted.
临床综合征中心性浆液性视网膜病变（RCS）和老年性渗出性盘状黄斑变性（PEDMD）是众所周知的，但脉络膜毛细血管、布鲁赫膜和色素上皮作为诱发因素的病理生理和病理解剖变化的原因尚不清楚。显然，这两种黄斑变性情况有所不同。然而，它们可能代表同一疾病实体的两种表现形式，最初以黄斑区视网膜下渗出为主。因此，认为RCS可能是PEDMD的一部分或初始阶段也是合理的。在本研究中，通过对20例RCS患者的选择性材料进行随访检查，包括荧光素血管造影等，证实了这些可能性。此外，研究表明，就中心视力而言，RCS可能比普遍认为的更为严重。
