ATYPICAL HEALING IN A CASE WITH RETINAL PIGMENT EPITHELIUM APERTURES.

Retinal Cases & Brief Reports
Rodrigo Molina-PalleteRosa Dolz-Marco

Abstract

To analyze the multimodal imaging features in a case showing resolution of retinal pigment epithelium (RPE) apertures in association with an avascular pigment epithelium detachment secondary to nonneovascular age-related macular degeneration. Report of a case diagnosed with aperture of the RPE with multimodal imaging long-term follow-up. Color fundus photography, fundus autofluorescence, eye-tracked spectral domain optical coherence tomography (OCT), and OCT angiography findings are discussed. A 71-year-old man diagnosed with nonneovascular age-related macular degeneration presented with three different areas of RPE aperture in his right eye. At baseline, best-corrected visual acuity was 20/100 in his right eye. Dilated fundus examination showed three round areas of RPE atrophy, and fundus autofluorescence demonstrated marked hypoautofluorescence in the corresponding areas. The OCT scans showed discontinuities of the RPE band with no evidence of RPE tear. The OCT angiography showed no evidence of abnormal blood flow within the sub-RPE space. Over time, fundus autofluorescence and eye-tracked spectral domain OCT scans demonstrated spontaneous resolution of two of the RPE defects and reduction of the size of the third one, with c...Continue Reading

References

Jun 1, 1985·The British Journal of Ophthalmology·A G CasswellA C Bird
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Jan 19, 2010·Ophthalmology·Catherine CukrasUNKNOWN Age-Related Eye Disease Study Research Group
Oct 22, 2015·Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift für Augenheilkunde·Christoph R Clemens, Nicole Eter
Oct 21, 2016·Investigative Ophthalmology & Visual Science·Chandrakumar BalaratnasingamK Bailey Freund
Sep 14, 2017·Ophthalmic Surgery, Lasers & Imaging Retina·Vittorio CapuanoGiuseppe Querques

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