Kottow M
Klin Monbl Augenheilkd. 1980 May;176(5):752-7. doi: 10.1055/s-2008-1057548.
Two cases of acute, multifocal, placoid, pigment epitheliitis, are described. In acute multifocal placoid pigment epitheliopathy (AMPPE) visual acuity falls precipitously, accompanied by whitish, confluent, blurry lesions of the posterior pole retina. On fluorescein angiography, these lesions characteristically block the normal choroidal flush. Visual acuity improves over a period of months, in spite of heavy residual chorioretinal scarring. In acute pigment epitheliitis, visual acuity also drops suddenly, but the objective findings are limited to slight depigmentation of the foveal area, especially visible in early stages of fluorescein angiography. Vision improves over a period of weeks. These diseases of the retinal pigment epithelium must be correctly diagnosed, since their visual prognosis is far better than that of central chorioretinitis or other macular diseases.
本文描述了两例急性多灶性扁平色素上皮炎。在急性多灶性扁平色素上皮病变（AMPPE）中，视力急剧下降，伴有后极部视网膜白色、融合性、模糊病变。在荧光素血管造影中，这些病变典型地遮挡正常脉络膜充盈。尽管有严重的脉络膜视网膜瘢痕残留，但视力在数月内会改善。在急性色素上皮炎中，视力也会突然下降，但客观表现仅限于黄斑区轻微色素脱失，在荧光素血管造影早期尤为明显。视力在数周内会改善。这些视网膜色素上皮疾病必须正确诊断，因为它们的视力预后远比中心性脉络膜视网膜炎或其他黄斑疾病要好。
