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
Ranjan R, Agarwal M, Verma N. Microrip of Retinal Pigment Epithelium in Central Serous Chorioretinopathy. JAMA Ophthalmol. 2020;138(6):e193120. doi:10.1001/jamaophthalmol.2019.3120
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