PMC3032242_01
(A) Fundus photograph of the left eye showing the presence of a juxtafoveal retinal pigment epithelial (RPE) tear. (B) Stratus OCT scan of the left eye showing an area devoid of RPE reflectivity with adjoining area of high reflectivity corresponding to the scrolled margin of the RPE tear
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One month after the injection, the patient developed a juxtafoveal RPE tear [Fig. 1A]. OCT evaluation with Stratus showed an area devoid of RPE reflectivity corresponding to the tear with an adjoining area of high reflectivity indicating the scrolled up margin of the RPE [Fig. 1B].
(A) Fundus photograph of the left eye showing the occurrence of a new RPE tear. (B) Spectral-domain OCT of the left eye showing the scrolled up margins of the RPE tear and the fibrovascular membrane lying adjacent to it (area within the blue arrows) (C) Histological picture from a surgical sample showing the corresponding areas of the scrolled up margin of the tear and the fibrovascular membrane (black arrows) (Lafaut et al. (D) Spectral-domain OCT of the left eye outlining the second RPE tear (area within the red arrows)
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One year into the follow-up, a new RPE tear was noted, extending from the superior border of the first tear (Fig. 2A, area within blue arrows represents the first RPE tear and the area within the red arrows represents the second tear). SD-OCT (Heidelberg Engineering, Vista, CA / Germany), of the left eye revealed an elevated RPE corresponding to the scrolled margin of the tear [Fig. 2B, 2D].