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Retinal pigment epithelium tear in an idiopathic acute onset bullous central serous chorioretinopathy
You-Ci Ou1, Cheng-Kuo Cheng2, Chang-Sue Yang3
1 Department of Ophthalmology, Shin Kong Wu Ho-Su Memorial Hospital, New Taipei, Taiwan
2 Department of Ophthalmology, Shin Kong Wu Ho-Su Memorial Hospital; Department of Ophthalmology, School of Medicine, Fu-Jen Catholic University, New Taipei, Taiwan
3 Department of Ophthalmology, Shin Kong Wu Ho-Su Memorial Hospital; Department of Ophthalmology, School of Medicine, Taipei Medical University, New Taipei, Taiwan
Correspondence Address:
Chang-Sue Yang,
Department of Ophthalmology, Shin-Kong Wu Ho-Su Memorial Hospital, No. 95, Wen Chang Road, New Taipei
Taiwan
 Source of Support: None, Conflict of Interest: None DOI: 10.4103/tjo.TJO-D-22-00150
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Although retinal pigment epithelium (RPE) tears are common in patients with chronic conditions such as exudative age-related macular degeneration or may occur in response to anti-vascular endothelial growth factor or laser treatment, a spontaneous RPE tear can occur in patients with acute and new-onset bullous central serous chorioretinopathy (CSCR). We present a rare case of a healthy young Asian man with unilateral massive subretinal fluid (SRF). An idiopathic acute-onset bullous CSCR with an RPE tear was diagnosed through ancillary examinations. This patient exhibited good visual recovery as indicated by foveal sparing, spontaneous resolution of SRF, and the lack of a need for unnecessary surgery.
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