Retinal pigment epithelium (RPE) tears have been associated with age-related macular degeneration, RPE detachments, choroidal neovascularization, and retinal detachments.1,2 We report a case of a macular RPE tear with an exudative retinal detachment (ERD) following panretinal photocoagulation (PRP) and filtration surgery in a diabetic patient.
Report of a Case.
—A 51-year-old woman with an 18-year history of diabetes presented to the Illinois Eye and Ear Infirmary, Chicago, in August 1988, with 1 week of painful decreased vision, redness, and tearing of her left eye. Visual acuity was 20/40 OD and 1/200 OS. Examination of the left eye showed diffuse microcystic corneal edema, 2+ flare and red blood cells, 4+ rubeosis iridis, and posterior and nuclear sclerotic cataract. Intraocular pressure was 65 mm Hg OS by pneumotonometry; gonioscopy showed 360° of neovascular angle closure. Ophthalmoscopy showed neovascularization of the disc with neovascularization elsewhere; the central retinal artery was without pulsations.