Acute tear of the retinal pigment epithelium

High definition spectral domain optical coherence tomography of retinal pigment epithelial rip in a case of sympathetic ophthalmia

Background

We are reporting a case of granulomatous panuveitis in the right eye following penetrating injury to the left eye.

Findings

A 34-year-old female was diagnosed to have sympathetic ophthalmia on treatment with systemic steroids. Vision did not improve in spite of aggressive systemic steroid therapy. On examination, patient had large retinal pigment epithelial rip nasal to the disc with exudative retinal detachment which was documented with FFA, ICG, and OCT. RPE rip is responsible for the persistent exudative retinal detachment in the right eye.

Conclusions

RPE rip can cause decreased vision due to persistence of retinal detachment in a case of sympathetic ophthalmia.

Giant pigment epithelial tear and exudative retinal detachment complicating choroidal effusions

PURPOSE

To report a case of a giant pigment epithelial tear and transient exudative retinal detachment occurring in a patient with hypotonic choroidal effusions after trabeculectomy.

METHODS

Case report and brief literature review.

RESULT

The retinal and choroidal detachments settled, disclosing an extremely large crescentic pigment epithelial defect in the temporal midperiphery.

CONCLUSIONS

An exudative retinal detachment secondary to a peripheral pigment epithelial rip may complicate choroidal effusions. Recognition of this association may prevent unnecessary investigation or surgery.