Lewis M L
Arch Ophthalmol. 1978 Apr;96(4):620-4. doi: 10.1001/archopht.1978.03910050316004.
Twenty-one patients under age 55 had idiopathic serous detachments of the retinal pigment epithelium (rpe) one-fifth disc diameter or larger in size. In the absence of other choroidal diseases, such as senile mascular degeneration, presumed ocular histoplasmosis syndrome, or anglioid streaks, serous RPE detachments have a good prognosis and probably are a variant of idiopathic central serous choroidopathy. The presence of associated subretinal fluid involving the macula was the factor that had the most effect on visual acuity. Serous detachments of the RPE should be distinguished from multiple vitelliform lesions (a variant of vitelliform dystrophy).
21名55岁以下的患者患有视网膜色素上皮（RPE）的特发性浆液性脱离，其大小为视盘直径的五分之一或更大。在没有其他脉络膜疾病，如老年性黄斑变性、推测的眼组织胞浆菌病综合征或血管样条纹的情况下，浆液性RPE脱离预后良好，可能是特发性中心性浆液性脉络膜病变的一种变体。伴有累及黄斑的视网膜下液是对视敏度影响最大的因素。RPE的浆液性脱离应与多发性卵黄样病变（卵黄样营养不良的一种变体）相鉴别。
