Abstract
Purpose :
Pigment epithelial detachment (PED), a common finding in several chorioretinal and systemic diseases, are typically found in the posterior pole. We herein report a novel case of bilateral peripheral PEDs.
Methods :
An asymptomatic male presented to retina clinic with bilateral peripheral retinal findings. Multimodal imaging including Optos widefield imaging, optical coherence tomography and fluorescein angiography was obtained.
Results :
Incidental findings of bilateral peripheral PEDs were discovered on dilated fundus exam and multimodal imaging performed in an asymptomatic 57-year-old male. He was not on any medications and had no prior medical history. He did not have age-related macular degeneration or central serous choroidopathy. Optos widefield imaging exhibited extensive PEDs in the retinal periphery with absence of similar findings in the posterior pole (Figure A). Optical coherence tomography imaging confirmed peripheral PEDs (Figure B1-2). Some lesions were coalesced. Fluorescein angiography revealed multiple hyperfluorescent areas consistent with pooling into the PEDs (Figure C). Over a few months, the lesions were stable in size.
Conclusions :
To our knowledge, this is the first case of peripheral PEDs in the literature, documented with multimodal imaging.
This is a 2020 Imaging in the Eye Conference abstract.