Spontaneous Large Serous Retinal Pigment Epithelial Tear
Purpose: To report cases of spontaneous retinal pigment epithelial (RPE) tear complicating serous pigment epithelial detachment (PED). Methods: The records of 3 Asian patients with spontaneous giant RPE tear were reviewed retrospectively by including clinical presentation, angiography, optical coher...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2012-10-01
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| Series: | Case Reports in Ophthalmology |
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| Online Access: | http://www.karger.com/Article/FullText/343702 |
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| author | Voraporn Chaikitmongkol Direk Patikulsila Janejit Choovuthayakorn Nimitr Ittipunkul Paradee Kunavisarut |
| author_facet | Voraporn Chaikitmongkol Direk Patikulsila Janejit Choovuthayakorn Nimitr Ittipunkul Paradee Kunavisarut |
| author_sort | Voraporn Chaikitmongkol |
| collection | DOAJ |
| description | Purpose: To report cases of spontaneous retinal pigment epithelial (RPE) tear complicating serous pigment epithelial detachment (PED). Methods: The records of 3 Asian patients with spontaneous giant RPE tear were reviewed retrospectively by including clinical presentation, angiography, optical coherence tomography, fundus autofluorescence imaging, and visual outcome. Results: Three patients (4 eyes) were included in this study, with a mean age of 48.3 (42–56) years, and a mean follow-up period of 7.75 (4–18) months. Fundus examination in all patients showed giant RPE tear associated with bullous PED. Two cases had a history of prior corticosteroid use, and 1 had no history of medication use. All 3 patients developed spontaneous resolution of subretinal fluid with no treatment. However, in patients who used corticosteroids, initial progression of the tear and subretinal fluid were observed despite ceasing medication. On subsequent follow-up, an incomplete RPE regeneration was demonstrated by fundus autofluorescence imaging, and choroidal neovascularization developed in 1 patient. Conclusion: Large PED with RPE tear is a rare manifestation. When the fovea is spared, visual prognosis is favorable. No specific treatment is required, but careful choroidal neovascularization monitoring should be performed. |
| first_indexed | 2024-12-23T05:16:30Z |
| format | Article |
| id | doaj.art-46c5947ba73c4620ae7b49d98e55fcee |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-12-23T05:16:30Z |
| publishDate | 2012-10-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-46c5947ba73c4620ae7b49d98e55fcee2022-12-21T17:58:49ZengKarger PublishersCase Reports in Ophthalmology1663-26992012-10-013334935510.1159/000343702343702Spontaneous Large Serous Retinal Pigment Epithelial TearVoraporn ChaikitmongkolDirek PatikulsilaJanejit ChoovuthayakornNimitr IttipunkulParadee KunavisarutPurpose: To report cases of spontaneous retinal pigment epithelial (RPE) tear complicating serous pigment epithelial detachment (PED). Methods: The records of 3 Asian patients with spontaneous giant RPE tear were reviewed retrospectively by including clinical presentation, angiography, optical coherence tomography, fundus autofluorescence imaging, and visual outcome. Results: Three patients (4 eyes) were included in this study, with a mean age of 48.3 (42–56) years, and a mean follow-up period of 7.75 (4–18) months. Fundus examination in all patients showed giant RPE tear associated with bullous PED. Two cases had a history of prior corticosteroid use, and 1 had no history of medication use. All 3 patients developed spontaneous resolution of subretinal fluid with no treatment. However, in patients who used corticosteroids, initial progression of the tear and subretinal fluid were observed despite ceasing medication. On subsequent follow-up, an incomplete RPE regeneration was demonstrated by fundus autofluorescence imaging, and choroidal neovascularization developed in 1 patient. Conclusion: Large PED with RPE tear is a rare manifestation. When the fovea is spared, visual prognosis is favorable. No specific treatment is required, but careful choroidal neovascularization monitoring should be performed.http://www.karger.com/Article/FullText/343702Pigment epithelial detachmentRetinal pigment epithelial ripRetinal pigment epithelial tear |
| spellingShingle | Voraporn Chaikitmongkol Direk Patikulsila Janejit Choovuthayakorn Nimitr Ittipunkul Paradee Kunavisarut Spontaneous Large Serous Retinal Pigment Epithelial Tear Case Reports in Ophthalmology Pigment epithelial detachment Retinal pigment epithelial rip Retinal pigment epithelial tear |
| title | Spontaneous Large Serous Retinal Pigment Epithelial Tear |
| title_full | Spontaneous Large Serous Retinal Pigment Epithelial Tear |
| title_fullStr | Spontaneous Large Serous Retinal Pigment Epithelial Tear |
| title_full_unstemmed | Spontaneous Large Serous Retinal Pigment Epithelial Tear |
| title_short | Spontaneous Large Serous Retinal Pigment Epithelial Tear |
| title_sort | spontaneous large serous retinal pigment epithelial tear |
| topic | Pigment epithelial detachment Retinal pigment epithelial rip Retinal pigment epithelial tear |
| url | http://www.karger.com/Article/FullText/343702 |
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