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Ophthalmic Images
June 11, 2020

Microrip of Retinal Pigment Epithelium in Central Serous Chorioretinopathy

Author Affiliations
  • 1Dr Shroff's Charity Eye Hospital, Daryaganj, New Delhi, India
  • 2Vitreoretina, Daryaganj, New Delhi, India
JAMA Ophthalmol. 2020;138(6):e193120. doi:10.1001/jamaophthalmol.2019.3120

A 34-year old man presented with diminution of vision in the right eye for 15 days. He was undergoing infertility treatment. His visual acuity was 6/60 (20/200) OD and 6/6 (20/20) OS. Slitlamp biomicroscopy results of both eyes were normal. A fundus examination of the right eye showed subretinal fluid (SRF) at the macula and a normal left eye. Optical coherence tomography of the right eye showed SRF at the macula with a discontinuation of the retinal pigment epithelium (RPE) presumed to be a microrip or tear of the RPE (Figure, A). A clinical diagnosis of central serous chorioretinopathy was made. The patient was kept under observation. At follow-up at 2 months, his visual acuity was 6/6 (20/20) OD with no evidence of SRF in the optical coherence tomography results (Figure, B). It is presumed that this represented an RPE microrip in central serous chorioretinopathy that resolved spontaneously; similar cases have been reported with good visual prognoses in contrast to large RPE rips.1