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Article
June 1954

ANGIOID STREAKS: Tears in Bruch's Membrane or Pigmented Choroidal Vessels(?)

AMA Arch Ophthalmol. 1954;51(6):762-782. doi:10.1001/archopht.1954.00920040772004
Abstract

FEW MORE arresting or puzzling ophthalmoscopic pictures exist than that of the fully developed case of angioid streaks. Splashed across the fundus, a great network of jagged brownish bands, some broader than the largest retinal veins and others tiny anastomosing threads, they take origin from the neighborhood of the disc and extend more or less radially toward the periphery, resembling nothing so much as a system of anomalously pigmented vessels. Like vessels, they branch, they anastomose, and they tend to taper as they approach the periphery. Like a system of vessels, they show a more or less uniform distribution, a basic pattern found in case after case with only minor variations, putting one in mind of some kind of fixed anatomic structure.1 Pigmentation, on the other hand, is suggested by their color, their serrated edges, the marked changes in width, and the frequent presence of other types of fundus

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