CHOROIDOSIS CENTRALIS SEROSA

Abstract

The fundus lesion to be discussed in this article was first described in 1898 by Asayma, who designated it retinitis centralis. In 1929 Horniker¹ suggested the term central angiospastic retinitis and summarized the clinical findings as follows: The symptoms include sudden and sometimes short obscurations of vision, which in women tend to occur at the climacteric, and frequently there is a history of asthma, claudication and angioneurotic attacks. The objective findings include small white spots in the retina in an area of edema, small hemorrhages occasionally, changes in the smallest blood vessels and subsequent pigmentation of the lesion, with prompt relief following the use of vasodilators. Ophthalmologists disagree as to the origin of this lesion. Some believe that it is of retinal origin, while others believe that it originates in the choroid and that the retinal changes are secondary. I believe that angiospastic lesions can occur both in the