Bilateral giant retinal pigment epithelial rip in idiopathic central serous chorioretinopathy.

摘要

A 33-year-old man presented with decreased vision in the right eye of 2 months duration. His best-corrected visual acuity was 20/40 in the right eye and 20/ 20 in the left eye. On fundoscopy, the right eye showed a giant retinal pigment epithelial rip (Figure 1A). The left eye showed multiple pigment epithelial detachments (Figure 1B) for which no intervention was done. Two years later, he presented with decreased vision in the left eye. His best-corrected visual acuity was 20/ 80 in the left eye. On fundoscopy, the left eye showed a large "crescent-shaped" retinal pigment epithelium (RPE) rip just inferior to the fovea with exudative retinal detachment confirmed on fluorescein angiog-raphy (Figure 2). There was no history of receiving corticosteroids or evidence of systemic disease. Over the next month, the area of RPE rip increased, and exudative retinal detachment resolved with pigmentary changes (Figure 3).