Case 8-15. Serous Detachment of the Retinal Pigment Epithelium

Clinical Summary

A 74-year-old woman with a history of bilateral pigment epithelial detachments recently noted a slight decline in the visual acuity in her left eye. Slit-lamp biomicroscopy (A) identified serous detachment of the retinal pigment epithelium immediately superotemporal to the fovea. Fluorescein angiography (B) revealed a bilobed region of hyperfluorescence. The superior portion of the lesion showed late dye pooling consistent with a pigment epithelial detachment.

Optical Coherence Tomography

A horizontal OCT scan (C) acquired through the detachment displayed a large elevation of the retinal pigment epithelium over a non-reflective cavity with shadowing of the choroid below. Two areas of subretinal fluid accumulation were noted adjacent to the detachment on either side.

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