Case 8-17, Serous Neurosensory and Pigment Epithelial Detachments

Clinical Summary

A 72-year-old woman with exudative age-related macular degeneration was studied. Her visual acuity in the right eye was 20/80. Slit-lamp examination (A) revealed two serous pigment epithelial detachments in the inferior and superior macula.

Optical Coherence Tomography

A vertical OCT section (B) displayed two detachments of the retina and pigment epithelium above optically clear serous fluid cavities. The inferior detachment extended beneath the fovea. The reflections from the choroid were reduced below the detachments consistent with shadowing from the detached pigment epithelium above. A pocket of subretinal fluid was identified between the two pigment epithelial detachments.

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