Idiopathic multiple retinal pigment epithelial detachments - A case report

Area of Science:

• Ophthalmology
• Retinal Imaging
• Medical Case Reports

Background:

• Retinal pigment epithelial detachment (RPED) is a common retinal finding, typically asymptomatic.
• Multiple serous RPEDs, particularly in females, represent a rare clinical presentation.

Purpose of the Study:

• To report the first case of asymptomatic multiple serous retinal pigment epithelial detachments in a 51-year-old female.
• To correlate findings from indocyanine green angiography and fundus autofluorescence in this rare condition.

Main Methods:

• Case presentation of a 51-year-old female with asymptomatic multiple serous RPEDs.
• Utilized indocyanine green angiography and fundus autofluorescence for diagnostic evaluation.
• Conducted a comprehensive systemic work-up to rule out underlying conditions.

Main Results:

• The patient presented with multiple serous RPEDs across the fundus, with no associated symptoms.
• Indocyanine green angiography revealed characteristic abnormalities.
• Fundus autofluorescence also demonstrated distinct patterns related to the detachments.
• Systemic work-up yielded normal results, excluding systemic associations.

Conclusions:

• This case is the first to describe an asymptomatic patient with multiple serous RPEDs, correlating angiographic and autofluorescent findings.
• The study underscores the utility of advanced imaging techniques in diagnosing rare retinal conditions.
• Asymptomatic multiple serous RPEDs can occur, and multimodal imaging is crucial for characterization.