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Case 8-21. Fibrovascular Pigment Epithelial Detachment and Cystoid Macular Edema

Clinical Summary

An 81-year-old woman reported decreasing vision in her right eye over the past 12 months. Clinical examination revealed a visual acuity of 20/40'I associated with a large area of subretinal fluid and overlying cvstoid macular edema in the central macula (A), Fluorescein angiography (B) was notable for a large area of hvperfluorescence during the late phase.

Optical Coherence Tomography

OCT (C) revealed thickening of the neurosensory retina and non-reflective spaces within the outer plexiform laver consistent with cystoid macular edema. The reflection from the retinal pigment epithelium (RPE) and cho-riocapiIlaris appeared disrupted throughout the temporal aspect of the image consistent with choroidal neova scula nation.

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