Retinal Pigment Epithelial Tears

Decker, William L.; Sanborn, George E.; Ridley, Miriam E.; Annesley, William H.; Sorr, Edward M.

doi:10.1016/s0161-6420(83)34534-6

Cited by 74 publications

(49 citation statements)

References 7 publications

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“…After an RPE tear occurs, the torn edge of RPE reattaches to Bruch's membrane at a new site and forms a smaller PED or results in flattening of the PED. 24 Over time, the area of bare Bruch's membrane may be replaced by normal-appearing RPE or become covered by fibrous tissue.…”

Section: Rpe Tears In Neovacular Amd -"Rpe Rips"mentioning

confidence: 99%

“…1 Alternating light and dark bands of the RPE may be appreciated by FFA and represent redundant, folded, or pleated RPE. 7 Additional findings such as leakage within the bed of the RPE tear due to persistent CNVM 24 and pooling of dye within the PED 7 may also be seen. The size of the PED in diameter can be assessed on FFA as a high risk factor for RPE tear development.…”

Section: E-issn 2454-2784mentioning

confidence: 99%

“…44 According to them, presence of a CNV is not mandatory for the occurrence of an RPE tear and stressed on the importance of such hydrophobic deposits which increase the resistance of the Bruch's membrane to water flow. Based on the observation of RPE tears occurring during or after photocoagulation, 11,24,41 Gass described the role of tangential force on the RPE layer produced by a contracting CNV and proposed that the heat generated by photocoagulation caused a shearing force responsible for the tear. 10 As significant changes in the hydrostatic pressure within the …”

Section: Mechanism Of Rpe Tearsmentioning

confidence: 99%

“…1,9,24,25 Rarely, eyes with tears not involving the fovea or through the fovea have been reported to retain good vision. 24,26 Sarraf et al 27 introduced an RPE tear grading system based on the longest linear diameter in the vector direction of the tear. Grade 1 tears were defined as <200μm.…”

mentioning

confidence: 99%

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Tears of The Retinal Pigment Epithelium – A Review

Gupta¹,

Chhabra²,

Mehta³

et al. 2017

Delhi Journal of Ophthalmology

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Section: Rpe Tears In Neovacular Amd -"Rpe Rips"mentioning

confidence: 99%

Section: E-issn 2454-2784mentioning

confidence: 99%

Section: Mechanism Of Rpe Tearsmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Tears of The Retinal Pigment Epithelium – A Review

Gupta¹,

Chhabra²,

Mehta³

et al. 2017

Delhi Journal of Ophthalmology

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“…Tears of the retinal pigment epithelium (RPE) have been described as a variance of presentation or as a complication of AMD (Hoskin et al 1981;Coscas et al 1982;Cantril et al 1983;Decker et al 1983;De Laey & Riems 1984;Green & Yarian 1983;Tutein Noltenius & Deutman 1985;Krishan et al 1985;Giovannini et al 1987;Haller Yeo et al 1988;Nisha et al 1995). In 1981 Hoskin et al first described the clinical and angiographic characteristics of this clinical entity.…”

mentioning

confidence: 99%

Indocyanine green angiography of retinal pigment epithelial tears

Giovannini

Scassellati-Sforzolini

Lafaut

et al. 1999

Acta Ophthalmologica Scandinavica

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ABSTRACT.Purpose: To investigate the fluorescein and indocyanine green (ICG) features before and after retinal pigment epithelial tear. Methods: Fluorescein and ICG videoangiography were performed in 30 patients affected by age-related macular degeneration either complicated by tear of the retinal pigment epithelium (25 eyes) or by pigment epithelial detachment with pretear characteristics (5 eyes). Results: At the pretear stage fluorescein angiography (FA) showed in all cases signs of occult CNV associated with delayed, slow and uneven filling of the pigment epithelium detachment. In 2 eyes the ICG filling of the retinal pigment epithelial detachment was seen. Progression to the tear stage was seen in 4 eyes where a CNV was evident on ICG angiography; in two eyes within one month after laser photocoagulation. At the tear stage FA showed an area of marked hyperfluorescence with well defined margins. Adjacent to the exposed area the torn RPE was markedly hypofluorescent during all angiographic phases. The bare choroid was always hypo or normofluorescent on ICG angiography. The torn retinal pigment epithelium showed moderate hypofluorescence. The exact seat and extension of CNVs could be visualized in 20 cases (67%; 95% C.I., 50-84%) with ICG angiography vs. 6 cases (20%; 95% C.I., 6-34%) with FA (p∞0.001). Conclusions: ICG angiography did not add anything substantial to the analysis of frank tears. The most useful application of ICG angiography in this disease is the visualization of the seat and extension of the associated CNV. In fact, it is well known that laser treatment of a pigment epithelial detachment at the pretear stage may facilitate the development of a tear of the RPE.

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