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S.R. Fink, L. Akduman, R.J. Olk; Idiopathic Multiple Pigment Epithelial Detachments (IMPED) in a Young Patient - A New Syndrome? . Invest. Ophthalmol. Vis. Sci. 2003;44(13):4911.
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Purpose: We report a 45-year-old female patient with multiple retinal pigment epithelial detachments (PED). Methods: A 45-year-old asymptomatic patient has been evaluated for bilateral multiple PEDs detected during routine ophthalmoscopic examination. The patient underwent fundus photography, fluorescein and indocyanine green angiography, optical coherence tomography (OCT) and electrophysiological testing. Distinctions were noted from known conditions that present with multiple PEDs. The patient’s condition remained unchanged for 6 months. No family history of a similar condition existed. Results: PEDs were noted in the posterior pole, largest in size at the fovea and decreasing in size outwards from the fovea (Figure 1). OCT confirmed the PEDs with no overlying neurosensorial detachment (Figure 2). EOG was normal and ERG showed decreased cone-rod sensitivity. Conclusions: Eliminating the disorders in the differential diagnosis (such as idiopathic polypoidal choroidal vasculopathy, Vogt-Koyanagi-Harada’s disease, retinal dystrophies and degenerations, inflammatory, infectious and neoplastic disorders), we believe this may represent a new idiopathic entity presenting with multiple PEDs. View OriginalDownload SlideView OriginalDownload Slide
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