Case 8-16. Detachment of the Retinal Pigment Epithelium

Clinical Summary

A 72-year-old man with age-related macular degeneration was evaluated for slowly decreasing vision. On examination, the visual acuity in his left eye was 20/50. Dilated ophthalmoscopy (A) revealed a shallow pigment epithelial detachment in the macula with surrounding drusen.

Optical Coherence Tomography

An OCT image (B) taken superior to the fovea showed a slight elevation of the retina and the reflective band corresponding to the retinal pigment epithelium. Low to moderate backscatter was observed beneath the detachment consistent with either a cloudy exudate or fibrovas-cular proliferation.

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