Humphrey W T, Carlson R E, Valone J A
Am J Ophthalmol. 1984 Dec 15;98(6):717-22. doi: 10.1016/0002-9394(84)90686-x.
Of 104 consecutive patients with senile reticular pigmentary degeneration (207 eyes), 85 patients (82%) were more than 60 years old (mean age, 69.2 +/- 8.54 years). Forty-nine (47%) were men and 55 (53%) were women. Peripheral visual fields were not characteristically constricted. Although most eyes tested had visual acuities of 20/50 or better, 69 eyes (33%) had visual acuities of 20/100 or worse. A total of 136 eyes (66%) had senile macular degeneration at the time senile reticular pigmentary degeneration was first diagnosed, whereas only 43 control eyes (21%) from the same referral population also had senile macular degeneration (P less than .001). Macular degeneration was the primary cause for reduced vision when it was noted. In no instance could reduced visual acuity or constricted visual fields be attributed to the senile reticular pigmentary degeneration alone. Senile reticular pigmentary degeneration on routine ophthalmoscopy should alert the clinician to the possibility of co-existing macular degenerative disease.
在104例连续性老年网状色素变性患者（207只眼）中，85例（82%）年龄超过60岁（平均年龄69.2±8.54岁）。49例（47%）为男性，55例（53%）为女性。周边视野无特征性缩窄。尽管大多数受检眼视力为20/50或更好，但69只眼（33%）视力为20/100或更差。在首次诊断老年网状色素变性时，共有136只眼（66%）患有老年性黄斑变性，而来自同一转诊人群的仅43只对照眼（21%）也患有老年性黄斑变性（P<0.001）。黄斑变性是视力下降的主要原因。在任何情况下，视力下降或视野缩窄都不能仅归因于老年网状色素变性。常规眼底检查发现的老年网状色素变性应提醒临床医生注意并存黄斑退行性疾病的可能性。
