Symptomatic idiopathic bilateral multifocal retinal pigment epithelial detachments

Teresa Rauchegger; Antonia Osl; Barbara Teuchner; Gertrud Haas

doi:10.1016/j.ajoc.2022.101336

Symptomatic idiopathic bilateral multifocal retinal pigment epithelial detachments

Am J Ophthalmol Case Rep. 2022 Jan 22:25:101336. doi: 10.1016/j.ajoc.2022.101336. eCollection 2022 Mar.

Authors

Teresa Rauchegger¹, Antonia Osl¹, Barbara Teuchner¹, Gertrud Haas¹

Affiliation

¹ Department of Ophthalmology and Optometry, Medical University Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.

Abstract

Purpose: To report a rare case of idiopathic bilateral serous retinal pigment epithelial detachments.

Observations: We present a case of a 43-year-old female patient with metamorphopsia with the presence of innumerable bilateral serous retinal pigment epithelial detachments. Detailed ocular and systemic clinical work-up revealed no underlying disease.

Conclusions: /Importance: Idiopathic multiple serous retinal pigment epithelial detachments are an extremely rare condition, that has been observed as an incidental clinical finding in asymptomatic patients. Multimodal imaging and detailed systemic work up are essential to rule out an underlying disease. Initial symptoms, as in our case, are uncommon and usually occur only in patients with complications such as choroidal neovascularization or hemorrhages. Therefore, regular follow ups are recommended to early detect and treat possible complications.

Keywords: Metamorphopsia; Multimodal retinal imaging; Retinal pigment epithelial detachments; Spectral domain optical coherence tomography.

Publication types

Case Reports