Case 8-39. Pigment Epithelial Detachment and Choroidal Neovascularization

Clinical Summary

A 76-year-old woman was evaluated for age-related macular degeneration, Slit-lamp biomicroscopy (A) of her right eye showed a pigment epithelial detachment in the central macula surrounded by a cuff of subretinal fluid, A hyperfluorescent lesion inferotemporal to the fovea was noted on fluorescein angiography (B) which displayed increasing hyperfluorescence and late pooling of dye as the study progressed. The patients visual acuity was 20/40 in this eye.

Optical Coherence Tomography

A vertical tomogram (C) taken through the detachment showed an elevation of the neurosensory retina and the red band corresponding to the retinal pigment epithelium and choriocapillaris. The reflections from the choroid were attenuated below the detachment Surrounding regions of neurosensory detachment and subretinal fluid accumulation were noted both inferior and superior to the pigment epithelial detachment.

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