This patient suddenly lost vision after an eye injection. Why?
Analysis
There is a significant elevation of the deeper retina. There is a free edge to the RPE and an absence of the RPE to the left of the lesion. In the area of RPE absence, the retina lies directly on Bruch’s membrane. Beneath the elevated area of RPE is hyerreflectivity consistent with hemorrhage.
The patient has an acute RPE rip.
In this tip's accompanying 12 min. video, we'll review:
- Elevation lesions in the deep retina
- The different types of RPE detachments
- Causes of visual loss following eye procedures
OCT Tip
If a free edge of the RPE is noted with an adjacent area of RPE atrophy, an RPE rip should be considered.
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