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December 1990

A Retinal Pigment Epithelium Tear in a Patient With Angioid Streaks

Author Affiliations

Chicago, Ill

Arch Ophthalmol. 1990;108(12):1672-1674. doi:10.1001/archopht.1990.01070140026013

Retinal pigment epithelium (RPE) tears have been described most frequently in patients with age-related macular degeneration. The tears may also occur after laser photocoagulation for choroidal neovascular membranes or RPE detachments.1 They may be associated with exudative choroidal detachments, glaucoma filtering procedures,2 asymptomatic chorioretinal scars, and rhegmatogenous retinal detachments.3 We describe herein the first report, to our knowledge, of an RPE tear in a patient with angioid streaks.

See also pp 1687, 1694 and 1770.

Report of a Case.  —A 50-year-old hypertensive black man presented to the University of Illinois Hospital Eye and Ear Infirmary, Chicago, complaining of bilateral, painless, progressive loss of vision. He had a 10-year history of poor visual acuity in his left eye following blunt orbital trauma, but had noted a recent decrease. Best corrected visual acuities were 20/200 OD and 20/300 OS. The anterior segment examination showed mild meibomian gland plugging and early nuclear

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