Solitary hypopigmented nevus of the retinal pigment epithelium in the macula.
Solitary hypopigmented nevus of the retinal pigment epithelium in the macula.
复制标题
黄斑部视网膜色素上皮的孤立性色素减退痣。
DOI：
10.1001/archopht.1992.01080220020005
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发表时间：
1992
影响因子：
--
通讯作者：
J. Gass
中科院分区：
文献类型：
--
作者：
R. Roseman;J. Gass
致《编辑》。-一名12岁男童的常规眼科检查显示，视力为20/20 OU，检查结果正常，但在左眼黄斑视网膜色素上皮(RPE)水平存在一个孤立的、边界清晰的椭圆形、粉白色、扁平样病变，并有一条楔形“尾巴”(图)。病变内可见界限不清、密度较高的白色斑点，完全遮盖了脉络膜循环的所有细节。Amsler网格检查和Goldmann视野检查未发现与病变相对应的异常，被解释为RPE色素减退的痣。患者的病史和家族史并不引人注目。视网膜色素上皮痣可以是单发或成群的，也可以是黑色素(深灰色或黑色)、白化(白色)或色素减退(橙色)。1以前用来描述黑色素性RPE痣的名称包括先天性单纯性RPE肥大和
To the Editor. —A routine ophthalmologic examination of a 12-year-old boy revealed a visual acuity of 20/20 OU and normal examination results except for the presence of a solitary, sharply circumscribed, oval, pinkish-white, placoid lesion with a wedge-shaped "tail" at the level of the retinal pigment epithelium (RPE) in the macula of the left eye (Figure). There were ill-defined, more densely white spots scattered within the lesion that completely obscured all details of the underlying choroidal circulation. Amsler grid testing and Goldmann visual field examination revealed no abnormality corresponding with the lesion, which was interpreted as a hypopigmented nevus of the RPE. The patient's medical and family histories were unremarkable. Nevi of the RPE may be solitary or grouped, and may be melanotic (dark gray or black), albinotic (white), or hypopigmented (orange). 1 Names previously used to describe melanotic RPE nevi include congenital hypertrophy of the RPE when solitary and