Saari M
Acta Ophthalmol (Copenh). 1978;56(4):510-7. doi: 10.1111/j.1755-3768.1978.tb01364.x.
The association of inflammatory diseases with disciform macular detachment is described in three patients. The first patient with seropositive syphilis developed juxtapapillary choroiditis, disciform detachment of the left macula progressing to a wide-spread area with atrophy of the choriocapillaris and pigment epithelium, corpuscular aggregations of retinal pigment, and white fibrous tissue between the choroid and retina. The second patient with fever, anorexia, fatigue, elevated erythrocyte sedimentation rate and pulmonary changes developed choroiditis with disciform detachment of the left macula, one month later choroiditis with disciform detachment of the pigment epithelium in the right fundus, and two months later serofibrinous pleurisy which improved with tuberculostatic therapy suggesting tuberculous aetiology. The third patient, with puerperal sepsis in her past medical history, had peripapillary atrophic scars in both eyes with choroidal neovascularization and disciform detachment of the macula in the left eye.
三名患者被描述为患有炎症性疾病伴盘状黄斑脱离。第一名血清阳性梅毒患者出现了视乳头旁脉络膜炎，左黄斑区盘状脱离，病变进展至广泛区域，伴有脉络膜毛细血管和色素上皮萎缩、视网膜色素颗粒聚集以及脉络膜与视网膜之间的白色纤维组织。第二名患者有发热、厌食、疲劳、红细胞沉降率升高及肺部改变，出现了脉络膜炎伴左黄斑区盘状脱离，一个月后右眼底出现色素上皮盘状脱离的脉络膜炎，两个月后出现浆液纤维蛋白性胸膜炎，经抗结核治疗后好转，提示病因可能为结核。第三名患者既往有产褥期败血症病史，双眼视乳头周围有萎缩性瘢痕，左眼有脉络膜新生血管和黄斑区盘状脱离。
