1975年Bos和Deutman描述了一种新近被认识的黄斑部疾病,称为急性黄斑部神经视网膜病变(acute macular neuroretinopathy),其特征有轻度视力减退、楔形傍中心凹视网膜病变和相应的视野傍中心暗点,荧光素血管造影正常。作者报告1例17岁男孩,因双眼前中心部有“蓝绿色暗影”2天而就诊,1周前曾患感冒,有嗓子痛和发烧。双眼视力6/6,Amsler方格表检查有双侧比较暗点,动态视野检查证实了傍中心缺损,静态视野检查通过两处缺损证明为浓密的暗点。右眼底中心凹鼻侧呈现一个表示深层感觉视网膜损害的不规则暗区;左眼底显示与右眼相似但为数更多的病变。这些病变以无赤光线检 In 1975, Bos and Deutman described a newly recognized macular disease known as acute macular neuroretinopathy characterized by mild vision loss, wedge-shaped pits near the fovea retinal lesions and corresponding visual fields Center dark spots, fluorescein angiography normal. The author reported a 17-year-old boy who was diagnosed with “blue-green shadows” for 2 days in front of his eyes. He had a cold and sore throat and fever one week earlier. Binocular visual acuity 6/6, Amsler grid table examination compared with dark spots on both sides, dynamic field test confirmed the center of the defect, static field of vision through two defects proved to be dense dark spots. The fundus on the right fundus shows an irregular dark area on the nasal side representing a deeper sensory retinal lesion; the left fundus shows similar but larger numbers of lesions to the right eye. These lesions have no red line examination