Chronic benign retinal pigment epithelial detachment: a subtype of central serous choroidopathy

Between October 1983 and December 1991, 14 patients (mean age 48.1 [range 38 to 68] years) presented with single, clear, cystic-appearing juxtafoveal lesions beneath the retina, with discrete borders measuring approximately 2 mm in diameter. All patients had vision of 6/7.5 or better, which did not deteriorate over a follow-up period of 3 to 91 (mean 18.1) months. Angiographically, the lesions showed relative homogeneous hyperfluorescence with very discrete margins, the angiographic appearance of serous retinal pigment epithelial detachment. We describe the clinical and angiographic appearance on presentation and in follow-up and discuss the probable relationship of these lesions to central serous choroidopathy.