Seven-year evaluation of idiopathic multiple retinal pigment epithelium detachments
Objective: To analyze a 7-year natural history of idiopathic multiple retinal pigment epithelium (RPE) detachment based on optical coherence tomography (OCT) images. Methods: Case report. SD-OCT imaging (Topcon 3D OCT-1000).Results: A 55-year-old female presented with three foci of pigment epitheliu...
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doaj-c6123a647acc4cef918a873ccb9a7b1a2020-11-25T02:47:09ZengGerman Medical Science GMS Publishing HouseGMS Ophthalmology Cases2193-14962016-10-016Doc1210.3205/oc000049Seven-year evaluation of idiopathic multiple retinal pigment epithelium detachmentsKrasnicki, Pawel0Dmuchowska, Diana1Zukowska, Ewa2Mariak, Zofia3Department of Ophthalmology, University Teaching Hospital of Bialystok, PolandDepartment of Ophthalmology, University Teaching Hospital of Bialystok, PolandDepartment of Ophthalmology, University Teaching Hospital of Bialystok, PolandDepartment of Ophthalmology, University Teaching Hospital of Bialystok, PolandObjective: To analyze a 7-year natural history of idiopathic multiple retinal pigment epithelium (RPE) detachment based on optical coherence tomography (OCT) images. Methods: Case report. SD-OCT imaging (Topcon 3D OCT-1000).Results: A 55-year-old female presented with three foci of pigment epithelium detachment (PED) in her left eye. Her past ophthalmic and medical history was uneventful. The patient’s visual acuity in both eyes was 1.0 throughout the follow-up period. Fluorescein angiography images are shown. Corresponding OCT scans illustrate natural history of the PED foci and retinal structure of the left eye. PED number, location, shape, size and morphology were analyzed. Initially, the dimensions of PEDs were stable, but then a tendency to fluctuate or flatten was observed. Eventually, the lesions have resolved completely. Apart from the detachments, no other structural abnormalities of the retina were found. No PEDs, but sub-, para- and perifoveal RPE protrusions and defects were detected in the right eye.Conclusions: In the hereby presented case:1. OCT proved to be suitable for diagnosis and monitoring of multiple PEDs. 2. Multiple idiopathic PEDs without involvement of the fovea were asymptomatic and regressed spontaneously. As such, they did not require any treatment. However, they were monitored due to potential risk for choroidal neovascularization or serous retinal detachment.http://www.egms.de/static/en/journals/oc/2016-6/oc000049.shtmlOCTmultiple retinal pigment epithelium detachmentsRPE detachmentsmultiple PEDs |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Krasnicki, Pawel Dmuchowska, Diana Zukowska, Ewa Mariak, Zofia |
spellingShingle |
Krasnicki, Pawel Dmuchowska, Diana Zukowska, Ewa Mariak, Zofia Seven-year evaluation of idiopathic multiple retinal pigment epithelium detachments GMS Ophthalmology Cases OCT multiple retinal pigment epithelium detachments RPE detachments multiple PEDs |
author_facet |
Krasnicki, Pawel Dmuchowska, Diana Zukowska, Ewa Mariak, Zofia |
author_sort |
Krasnicki, Pawel |
title |
Seven-year evaluation of idiopathic multiple retinal pigment epithelium detachments |
title_short |
Seven-year evaluation of idiopathic multiple retinal pigment epithelium detachments |
title_full |
Seven-year evaluation of idiopathic multiple retinal pigment epithelium detachments |
title_fullStr |
Seven-year evaluation of idiopathic multiple retinal pigment epithelium detachments |
title_full_unstemmed |
Seven-year evaluation of idiopathic multiple retinal pigment epithelium detachments |
title_sort |
seven-year evaluation of idiopathic multiple retinal pigment epithelium detachments |
publisher |
German Medical Science GMS Publishing House |
series |
GMS Ophthalmology Cases |
issn |
2193-1496 |
publishDate |
2016-10-01 |
description |
Objective: To analyze a 7-year natural history of idiopathic multiple retinal pigment epithelium (RPE) detachment based on optical coherence tomography (OCT) images. Methods: Case report. SD-OCT imaging (Topcon 3D OCT-1000).Results: A 55-year-old female presented with three foci of pigment epithelium detachment (PED) in her left eye. Her past ophthalmic and medical history was uneventful. The patient’s visual acuity in both eyes was 1.0 throughout the follow-up period. Fluorescein angiography images are shown. Corresponding OCT scans illustrate natural history of the PED foci and retinal structure of the left eye. PED number, location, shape, size and morphology were analyzed. Initially, the dimensions of PEDs were stable, but then a tendency to fluctuate or flatten was observed. Eventually, the lesions have resolved completely. Apart from the detachments, no other structural abnormalities of the retina were found. No PEDs, but sub-, para- and perifoveal RPE protrusions and defects were detected in the right eye.Conclusions: In the hereby presented case:1. OCT proved to be suitable for diagnosis and monitoring of multiple PEDs. 2. Multiple idiopathic PEDs without involvement of the fovea were asymptomatic and regressed spontaneously. As such, they did not require any treatment. However, they were monitored due to potential risk for choroidal neovascularization or serous retinal detachment. |
topic |
OCT multiple retinal pigment epithelium detachments RPE detachments multiple PEDs |
url |
http://www.egms.de/static/en/journals/oc/2016-6/oc000049.shtml |
work_keys_str_mv |
AT krasnickipawel sevenyearevaluationofidiopathicmultipleretinalpigmentepitheliumdetachments AT dmuchowskadiana sevenyearevaluationofidiopathicmultipleretinalpigmentepitheliumdetachments AT zukowskaewa sevenyearevaluationofidiopathicmultipleretinalpigmentepitheliumdetachments AT mariakzofia sevenyearevaluationofidiopathicmultipleretinalpigmentepitheliumdetachments |
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