Clinical evidence of the fluid dynamics in a giant tear of the retinal pigment epithelium

Multimodal imaging in retinal pigment epithelium rip with exudative bullous retinal detachment

A middle-aged man presented with exudative retinal detachment in the left eye. He was previously diagnosed as a case of large pigment epithelial detachment in the same eye, for which he was asked to follow-up closely, citing the risk of an retinal pigment epithelium (RPE) rip. Multimodal imaging confirmed the presence of a large RPE rip with exudative retinal detachment. He is a known retrovirus patient on anti-retroviral therapy with stable CD4 counts. He was diagnosed as a possible case of bullous variant of central serous chorioretinopathy and underwent external subretinal fluid drainage. We highlight the multimodal imaging findings of RPE rip with exudative retinal detachment and its impact on the patients visual acuity.

Surgical treatment of an exudative retinal detachment associated with a giant retinal pigment epithelial tear

After cataract surgery, a 69-year-old man presented with hypotony and choroidal effusion followed by retinal pigment epithelium tear and exudative detachment of the retina. Vitrectomy with fluid-air exchange successfully led to reattachment of all layers.To the authors' knowledge, this is the first reported case of successful surgical management of exudative detachment secondary to retinal pigment epithelium tears.