gms | German Medical Science

26. Jahrestagung der Deutschen Retinologischen Gesellschaft

Deutsche Gesellschaft für Retinologie

27.09.2013, Hamburg

“How much RPE is needed?” – Case report of a patient with retinal pigment epithelial tear

Meeting Abstract

Suche in Medline nach

  • Inger Lüdeke - Lübeck, Germany
  • S. Grisanti - Lübeck, Germany

Retinologische Gesellschaft. 26. Jahrestagung der Retinologischen Gesellschaft. Hamburg, 27.-27.09.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. Doc13rg25

doi: 10.3205/13rg25, urn:nbn:de:0183-13rg257

Veröffentlicht: 20. August 2013

© 2013 Lüdeke et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

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.