Teitelbaum B A, Hachey D L, Messner L V
Illinois College of Optometry, Chicago 60616, USA.
J Am Optom Assoc. 1997 Jun;68(6):373-6.
Congenital nevi of the retinal pigment epithelium (RPE) may manifest variable degrees of pigmentation. These nevi, which are almost always asymptomatic, can be either solitary or grouped. Torpedo maculopathy is a recently described congenital RPE nevus.
A review of congenital nevi of the RPE is presented to include torpedo maculopathy.
Torpedo maculopathy is a solitary congenital RPE nevus; it is oval, variably pigmented, and located in the temporal macula. Diagnosis of this lesion is made on the basis of its characteristic shape and location. The etiology may be related to alterations in the choroidal vasculature in the macular area during the embryologic development of the eye. Because of the benign nature of the nevus, yearly evaluations are recommended.
Classification of congenital nevi of the RPE is still evolving. As more is learned, a better system of organizing these lesions will be developed.
视网膜色素上皮(RPE)先天性痣可能表现出不同程度的色素沉着。这些痣几乎总是无症状的,可为单发或多发。鱼雷状黄斑病变是最近描述的一种先天性RPE痣。
对RPE先天性痣进行综述,包括鱼雷状黄斑病变。
鱼雷状黄斑病变是一种单发先天性RPE痣;呈椭圆形,色素沉着程度不一,位于颞侧黄斑区。根据其特征性形状和位置对该病变进行诊断。病因可能与胚胎发育时期眼部黄斑区脉络膜血管系统的改变有关。由于该痣的良性性质,建议每年进行评估。
RPE先天性痣的分类仍在不断发展。随着了解的增多,将会建立一个更好的系统来对这些病变进行分类。