Retinal pigment epithelium tear in an idiopathic acute onset bullous central serous chorioretinopathy

You-Ci Ou; Cheng-Kuo Cheng; Chang-Sue Yang

doi:10.4103/tjo.TJO-D-22-00150

Retinal pigment epithelium tear in an idiopathic acute onset bullous central serous chorioretinopathy

Taiwan J Ophthalmol. 2023 Feb 27;13(3):389-392. doi: 10.4103/tjo.TJO-D-22-00150. eCollection 2023 Jul-Sep.

Authors

You-Ci Ou¹, Cheng-Kuo Cheng^{1

2}, Chang-Sue Yang^{1

3}

Affiliations

¹ Department of Ophthalmology, Shin Kong Wu Ho-Su Memorial Hospital, New Taipei, Taiwan.
² Department of Ophthalmology, School of Medicine, Fu-Jen Catholic University, New Taipei, Taiwan.
³ Department of Ophthalmology, School of Medicine, Taipei Medical University, New Taipei, Taiwan.

Abstract

Although retinal pigment epithelium (RPE) tears are common in patients with chronic conditions such as exudative age-related macular degeneration or may occur in response to anti-vascular endothelial growth factor or laser treatment, a spontaneous RPE tear can occur in patients with acute and new-onset bullous central serous chorioretinopathy (CSCR). We present a rare case of a healthy young Asian man with unilateral massive subretinal fluid (SRF). An idiopathic acute-onset bullous CSCR with an RPE tear was diagnosed through ancillary examinations. This patient exhibited good visual recovery as indicated by foveal sparing, spontaneous resolution of SRF, and the lack of a need for unnecessary surgery.

Keywords: Central serous chorioretinopathy; retinal detachment; retinal pigment epithelium tear.

Publication types

Case Reports