Portal de Periódicos da CAPES

Vascular abnormalities in disciform degeneration of the macula lutea demonstrated with fluorescein.

1967; BMJ; Volume: 51; Issue: 6 Linguagem: Inglês

10.1136/bjo.51.6.394

1468-2079

L Lemke, A. Jütte,

Cerebrovascular and genetic disorders

SINCE the description of Junius and Kuhnt (1926), disciform degeneration of the macula lutea has been well-established as a clinical entity.In some cases the earliest change is an oedematous area which soon becomes opaque and is then followed by formation of the typical tumour-like lesion of disciform degeneration.Sharply- defined yellow-white spots frequently surround the central mass.Some authors assume the disease to be a heredodegenerative affection ofBruch's membrane (Brown, 1940).Others regard it as a circulatory disturbance, the result of arteriosclerosis of the choroidal vessels (Thiel, 1963).The purpose of this paper is to describe certain vascular abnormalities in a case of macular disciform degeneration.FiG.I.-Disciform degeneration of the macla.Early stage with macLilar oedema suLrrounded by lipoid and hyalin deposits.FiG. 2.-Fllorescein fLundus photograph of same eye.Note the appearance of microaneurvsms not seen in Fig. 1.SLibretinal leakage of the dye into the oedematous area outlines its borders.None of the hyaline deposits fluloresce.