Spontaneous Giant Retinal Pigment Epithelium Rip with Exudative Retinal Detachment-An Unusual Presentation
Journal Title: Journal of Ophthalmology and Advance Research - Year 2021, Vol 2, Issue 2
Abstract
Retinal Pigment Epithelial (RPE) rip or tears are known to occur as a natural result in the course of a retinal Pigment Epithelial Detachment (PED) in patients with neovascular Age-Related Macular Degeneration (AMD) or response to intravitreal anti-VEGF or laser for Wet AMD. After endophthalmitis, the most dreaded complications post Anti-VEGF injection is RPE tears leading to detrimental visual loss. Here, we report a case of a 57-year-old diabetic male patient who developed exudative retinal detachment in the left eye who underwent inguinal hernia surgery 20 days back. Uveitic workup done for exudative detachment was normal. FFA showed transmitted choroidal hyper fluorescence in the early phase suggestive of RPE rip and in late phase dye pooling in bullous detachment. The patient underwent Retinal detachment surgery with unexpected post-operative re-detachment noted at 1 week. This report highlights giant RPE rip as an uncommon cause for extensive exudative detachment, its evaluation, and difficult surgical management.
Authors and Affiliations
Vinit J Shah*, Syed Mohideen Abdul Khadar, Syed Saifuddin Adeel, Shobita Nair
Keywords
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- EP ID EP698935
- DOI http://dx.doi.org/10.46889/JOAR.2021.2205
- Views 57
- Downloads 0
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