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Peripheral Retinal Detachments and Retinal Pigment Epithelial Atrophic Tracts Secondary to Central Serous Pigment Epitheliopathy

Yannuzzi, Lawrence A. MD; Shakin, Jeffrey L. MD; Fisher, Yale L. MD; Altomonte, Mary Ann

doi: 10.1097/IAE.0b013e3182434da4
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Twenty-five patients with central serous pigment epitheliopathy (CSP), also known as central serous chorioretinopathy, have been observed to have inferior hemispheric retinal pigment epithelial atrophic tracts, presumptive of antecedent retinal detachments. Five of these patients were noted to have clinically discernible, dependent peripheral retinal detachments. The clinical and fluorescein angiographic features of these patients are reviewed. Alterations in the retina, the retinal pigment epithelium (RPE) and the choroid are also described. They include the commonly associated manifestations of CSP such as RPE leaks and macular detachment as well as some newly recognized disturbances such as retinal capillary dilatation (telangiectasia), retinal capillary leakage, retinal lipid deposition, cystoid macular edema, choriocapillaris atrophy, choroidal neovascularization and disciform scarring.

Lu Esther T. Mertz Retinal Research Center of the Manhattan Eye, Ear & Throat Hospital, New York, New York.

Reprint requests to Lawrence A. Yannuzzi. MD. 525 Park Avenue, New York, NY 10021

Presented at the Eighty-eighth Annual Meeting of the American Academy of Ophthalmology, Chicago, Illinois, October 30-November 3, 1983.

© The Ophthalmic Communications Society, Inc.