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June 1963

Exudative Chorioretinopathy Associated with Systemic Disease

Author Affiliations

Waltham, Mass; Cambridge, Mass; Boston
Assistant in Ophthalmology, Harvard Medical School and Massachusetts Eye and Ear Infirmary (Dr. Herm).; Clinical Associate in Medicine, Harvard Medical School, and Medical Director, Massachusetts Institute of Technology (Dr. Seeler).; Professor of Pathology, Tufts University School of Medicine (Dr. MacMahon).

Arch Ophthalmol. 1963;69(6):727-729. doi:10.1001/archopht.1963.00960040733008

Disciform degeneration of the retina is generally considered to be a local ocular abnormality. The following case is unique in that it demonstrates exacerbations and remissions of an exudative macular lesion resembling juvenile disciform degeneration of the macula associated with the exacerbations and remissions of a pathologically proven vascular disorder in tissues remote from the eye.

Report of Case  A university administrative officer, now age 46, was first seen by an ophthalmologist eight years ago with a history of blurred vision of the left eye. At that time he was described as having "typical findings of central serous retinopathy" O.S. with a visual acuity of 20/20 in each eye. Dental examination and x-rays of the teeth, general physical examination, urinalysis, and chest x-ray were all negative. Over the next two weeks this process gradually disappeared. Six months later he had a recurrence of blurred vision O.S. At this time he

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