Idiopathic multiple retinal pigment epithelial detachments – A case report

Dave, Vivek Pravin; Pappuru, Rajeev Reddy

doi:10.1016/j.sjopt.2015.05.006

Cited by 5 publications

(8 citation statements)

References 17 publications

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“…In most of these cases the multiple serous PEDs have been observed as an incidental clinical finding in asymptomatic patients. 8 , 9 , 10 , 11 Symptoms occurred solely in patients with complications such as hemorrhagic PEDs or subretinal hemorrhage. 11 , 12 In our case the patient was initially complaining of metamorphopsia without any complications.…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, it has been postulated that idiopathic multiple serous retinal PEDs might be a variant of CSCR as it is mostly seen in middle-aged patients and the lesions show a pooling phenomenon similar to CSCR lesions in FA. 8 , 11 …”

Section: Discussionmentioning

confidence: 99%

“…Moreover vasculitis, collagenosis, malignant hypertension, hyperviscosity syndromes and lymphoproliferative disorders must be excluded. 8 …”

Section: Discussionmentioning

confidence: 99%

“… 5 , 6 , 7 Idiopathic PEDs, without an underlying disorder, are a very rare condition and only a few cases have been published so far. 8 , 9 , 10 We present a case of multiple diffuse serous retinal PEDs in a 42-year old female complaining of metamorphopsia.…”

Section: Introductionmentioning

confidence: 98%

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Symptomatic idiopathic bilateral multifocal retinal pigment epithelial detachments

Rauchegger

Osl

Teuchner

et al. 2022

American Journal of Ophthalmology Case Reports

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Purpose To report a rare case of idiopathic bilateral serous retinal pigment epithelial detachments. Observations We present a case of a 43-year-old female patient with metamorphopsia with the presence of innumerable bilateral serous retinal pigment epithelial detachments. Detailed ocular and systemic clinical work-up revealed no underlying disease. Conclusions /Importance : Idiopathic multiple serous retinal pigment epithelial detachments are an extremely rare condition, that has been observed as an incidental clinical finding in asymptomatic patients. Multimodal imaging and detailed systemic work up are essential to rule out an underlying disease. Initial symptoms, as in our case, are uncommon and usually occur only in patients with complications such as choroidal neovascularization or hemorrhages. Therefore, regular follow ups are recommended to early detect and treat possible complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Moreover vasculitis, collagenosis, malignant hypertension, hyperviscosity syndromes and lymphoproliferative disorders must be excluded. 8 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

See 2 more Smart Citations

Symptomatic idiopathic bilateral multifocal retinal pigment epithelial detachments

Rauchegger

Osl

Teuchner

et al. 2022

American Journal of Ophthalmology Case Reports

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“…European Journal of Ophthalmology 33 (5) idiopathic occurrence in young to middle-aged patients. [4][5][6] Rarely, these have been reported with major weight loss, 7 advanced light chain deposition disease, 8 pregnancy, 9 and hemodialysis.…”

Section: Np98mentioning

confidence: 99%

Bilateral multiple blisters of retinal pigment epithelium in a healthy young female

Patel

Kumawat

Shrinkhal

et al. 2022

European Journal of Ophthalmology

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Background/ Purpose Multiple serous pigment epithelium detachments (PEDs) have been infrequently reported. We report a case of a young female with bilateral innumerable serosanguinous PEDs, giving an appearance of multiple blisters. Methods A 26-year-old female presented with sudden onset diminution of vision in left eye. She had bilateral innumerable translucent blister-like elevations of retinal pigment epithelium (RPE) and a few hemorrhagic blister-like elevations at macula and submacular blood in left eye. Multi-modal fundus imaging was performed. Pneumatic displacement and intravitreal injection of ranibizumab was performed in left eye. Results optical coherence tomography (OCT) confirmed multiple serous PEDs with pachychoroid morphology in both eyes and few hemorrhagic PEDs at the macula in left eye. The lesions were hypoautofluorescent with a halo of hyperautofluorescence. Fluorescein angiography revealed pooling into the serous PEDs in both eyes and few late leakage points in the area of blocked fluorescence at the macula in left eye. One-month following the intervention, subretinal blood had partially displaced with modest visual acuity gain. However, the patient refused further intravitreal injections. Conclusion Bilateral extensive serous PEDs, to the extent noted in this case, have not been previously reported. A widespread RPE-Bruch's membrane defect is suspected.

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Bilateral Idiopathic Recrudescent Multifocal Retinal Pigment Epithelial Detachments in a Patient underwent intraocular surgery after Eye Injury: a Case Report

Wang,

Hu,

Liu

2024

Preprint

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Background Bilateral multifocal retinal pigment epithelial detachment (RPED) is a rarely observed entity. Such condition is mostly seen in some idiopathic ocular or systemic pathologies. We report a case of bilateral idiopathic recrudescent multifocal retinal pigment epithelial detachment in a patient after eye injury and traumatic cataract surgery. Case presentation The patient is a middle-aged Asian male who developed bilateral multifocal RPED in both eyes following left eye trauma and surgery. The RPED disappeared after conservative treatment but recurred after the implantation of the secondary intraocular lens. There are currently few reports of similar cases involving recurrent bilateral multifocal RPED. Conclusions Comprehensive ophthalmological examinations and thorough systemic assessments are crucial to rule out underlying conditions. While some reports suggest that treatment may not be necessary, appropriate non-invasive treatment may help accelerate the pace of recovery.

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Idiopathic multiple retinal pigment epithelial detachments – A case report

Cited by 5 publications

References 17 publications

Symptomatic idiopathic bilateral multifocal retinal pigment epithelial detachments

Symptomatic idiopathic bilateral multifocal retinal pigment epithelial detachments

Bilateral multiple blisters of retinal pigment epithelium in a healthy young female

Bilateral Idiopathic Recrudescent Multifocal Retinal Pigment Epithelial Detachments in a Patient underwent intraocular surgery after Eye Injury: a Case Report

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