Successful Outcome of Giant Retinal Pigment Epithelium Rip in Idiopathic Central Serous Chorioretinopathy

摘要

A 40-year-old woman presented with sudden pain-:less decreased vision in the right eye of 1 month duration. Her best-corrected visual acuity was 20/200 in the right eye and 20/20 in the left eye. Funduscopy of the right eye showed a giant rip of the retinal pigment epithelium (RPE), and exudative retinal detachment (RD) (Figure 1). The left eye was normal. Fundus fiuorescein angiography (FFA) of the right eye showed multiple hyperfiuorescent expanding dots, with accumulation of dye in the late phase (Figure 2). There was no history of receiving any cortico-steroids. Laser photocoagulation was done for all the leaking points located 500mum away from the foveal center.