DISCIFORM DETACHMENT OF THE MACULA

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Abstract
The association of inflammatory diseases with disciform macular detachment is described in 3 patients. The 1st patient with seropositive symphilis developed juxtapapillary choroiditis, disciform detachment of the left macula progressing to a wide-spread area with atrophy of the choriocapillaris and pigment epithelium, corpuscular aggregations of retinal pigment, and white fibrous tissue between the choroid and retina. The 2nd patient with fever, anorexia, fatigue, elevated erythrocyte sedimentation rate and pulmonary changes developed choroiditis with disciform detachment of the left macula, 1 mo. later choroiditis with disciform detachment of the pigment epithelium in the right fundus, and 2 mo. later serofibrinous pleurisy which improved with tuberculostatic therapy suggesting tuberculous etiology. The 3rd patient, with purerperal sepsis in her past medical history, had peripapillary atrophic scars in both eyes with puerperal sepsis in her past medical history, had peripapillary atrophic scars in both eyes with choroidal neovascularization and discifrom detachment of the macula in the left eye.

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