[A tear of the retinal pigment epithelium].

Cesk Slov Oftalmol

Published: November 1999

AI Article Synopsis

  • Tears of the retinal pigment epithelium (RPE) are a rare complication that can occur after RPE ablation, with discussions highlighting the disease's origins and development factors.
  • The presence of drusen indicates congenital changes in Bruch's membrane, which may increase the likelihood of RPE tears following detachment.
  • Case studies show typical ophthalmoscopic and fluorescein angiographic features correlated with sudden vision loss and the formation of a fibrovascular scar.

Article Abstract

Tears of the retinal pigment epithelium is less common complication of RPE ablation. There is a discussion about the pathogenesis and the reasons of the disease's origin. The presence of drusen reflects congenital changes of Bruch's membrane with a tendency to rise the RPE tears after the former detachment. Demonstrated patient before the foundation of a tear was followed up for drusen in maculae bilaterally. There is reported the very characteristical ophthalmoscopic and mainly fluorescein angiographic appearance accompanied with a sudden loss of vision and the foundation of a fibrovascular scar.

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