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TG Chu, DS Boyer, S Chang; Pseudo-RPE Detachment Following Retinal Detachment Repair: Clinical and OCT Characteristics of Three Patients . Invest. Ophthalmol. Vis. Sci. 2002;43(13):2515.
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Purpose: To describe a new clinical entity seen in three patients following retinal detachment repair. Method: A retrospective case report of 3 patients with pseudo-RPE macular detachments following retinal detachment repair was performed. Fluorescein angiograms and OCT findings were also reviewed. Results: All three patients initial developed an acute rhegmatogenous retinal detachment requiring surgical repair via either vitrectomy and or scleral buckle placement. Two patients had macular involving retinal detachment involvement prior to surgery, and one did not have macular involvement. Postoperatively, all patients were noted to have a domed shaped elevation and reflex change within the fovea, with either deterioration of central vision (1 patient) or lack of recovery of central vision (2 patients) following successful retinal detachment repair. Fluorescein angiography did not reveal any macular leakage in any of the eyes, while OCT images revealed a dome shaped elevation within the macula and fovea. Conclusion: We report here a new clinical finding following successful vitrectomy surgery to repair an acute rhegmatogenous retinal detachment. Unlike other known complications of retinal surgery, these three patients described here have clinical features reminiscent of an acute sub-foveal RPE detachment. They all, however, have no leakage on FA, yet clearly exhibit a dome-shaped elevation on OCT. A hypothesis regarding the cause of this finding will be discussed.
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