Article
“How much RPE is needed?” – Case report of a patient with retinal pigment epithelial tear
Search Medline for
Authors
Published: | August 20, 2013 |
---|
Outline
Text
Background: Retinal pigment epithelial tears (RIP) are usually preceded by pigment epithelial detachments and may occur spontaneously or under therapy in cases of age-related macula degeneration. The visual function is usually decreased significantly, when the foveal area is involved.
Methods: Herein we describe a case with subfoveal RPE tear and central serous detachment retaining a good visual acuity over 3 years. The intravitreal injection of anti-VEGF was continued. In addition to the morphological examination via SD-OCT, a Microperimetry and a multifocal ERG were performed to analyze the retinal function.
Results: Despite a denudation of the subfoveal retinal pigment epithelium and persistent subretinal fluid, BCVA was stabilised between 0.4–0.5 under continued anti-VEGF-therapy.
Conclusion: In case of a retinal pigment epithelial tear, therapy is often discontinued because of the reduced prognosis. The fairly good visual acuity retained for three years supports the notion that continued anti-VEGF therapy may be useful also in RIP-cases with a denuded foveal area.