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Case 8-26, Serous Pigment Epithelial Detachment and Subretinai Neovascularization

Clinical Summary

A 68-year-old man had a visual acuity of 20/40 associated with a serous pigment epithelial detachment in his right eye (A). Fluorescein angiography (B) showed a hyper flu orescent lesion in the central macula which remained homogenous and well-demarcated in the late phase consistent with a serous detachment of the retinal pigment epithelium.

Optical Coherence Tomography

The retina and reflective band corresponding to the retinal pigment epithelium (RPE) were detached over an optically clear cavity, consistent with sub-pigment epithelial serous fluid accumulation (C). he reflection from the choroid was attenuated below the lesion, obscuring the boundary between the choroid and the fluid.

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