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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th-cmuir.6653943832-39892014-08-30T02:35:32Z Spontaneous large serous retinal pigment epithelial tear Chaikitmongkol V. Patikulsila D. Choovuthayakorn J. Ittipunkul N. Kunavisarut P. 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. © 2012 S. Karger AG, Basel. 2014-08-30T02:35:32Z 2014-08-30T02:35:32Z 2012 Article 16632699 10.1159/000343702 http://www.ncbi.nlm.nih.gov/pubmed/23139680 http://www.scopus.com/inward/record.url?eid=2-s2.0-84879110563&partnerID=40&md5=30043e200ed03e2f84f2b7214c8c5598 http://cmuir.cmu.ac.th/handle/6653943832/3989 English |
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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. © 2012 S. Karger AG, Basel. |
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Article |
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Chaikitmongkol V. Patikulsila D. Choovuthayakorn J. Ittipunkul N. Kunavisarut P. |
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Chaikitmongkol V. Patikulsila D. Choovuthayakorn J. Ittipunkul N. Kunavisarut P. Spontaneous large serous retinal pigment epithelial tear |
author_facet |
Chaikitmongkol V. Patikulsila D. Choovuthayakorn J. Ittipunkul N. Kunavisarut P. |
author_sort |
Chaikitmongkol V. |
title |
Spontaneous large serous retinal pigment epithelial tear |
title_short |
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_sort |
spontaneous large serous retinal pigment epithelial tear |
publishDate |
2014 |
url |
http://www.ncbi.nlm.nih.gov/pubmed/23139680 http://www.scopus.com/inward/record.url?eid=2-s2.0-84879110563&partnerID=40&md5=30043e200ed03e2f84f2b7214c8c5598 http://cmuir.cmu.ac.th/handle/6653943832/3989 |
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