Macular Degeneration

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Case 8-23. Neurosensory and Fibrovascular Pigment Epithelial Detachment

Clinical Summary

An 82-vear-old man had age-related macular degeneration associated with a visual acuity of 20/80 in his left eye. Slit-lamp biomicroscopy (A) was remarkable for cloudy subretinal fluid in the central macula with a small amount of central subretinal hemorrhage. Fluorescein angiography (B) displayed a small, focal hyperfluorescent lesion temporal to the fovea that exhibited poorly defined leakage in the late phase.

Optical Coherence Tomography

A vertical section (C) taken inferotemporal to the fovea showed an elevation of the retinal pigment epithelium (RPE) above a mildiv reflectiv e region consistent with a fibrovascular pigment epithelial detachment. A shallow neurosensory detachment which exhibited well-defined retina-fluid and RPE-fluid borders was observed inferior to this lesion.

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