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February 1990

Retinal Pigment Epithelium Tear in a Diabetic Patient With Exudative Retinal Detachment Following Panretinal Photocoagulation and Filtration Surgery

Author Affiliations

Chicago, Ill

Arch Ophthalmol. 1990;108(2):173-174. doi:10.1001/archopht.1990.01070040025012

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.

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