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