Maitray Aditya, Kohli Piyush, Babu Naresh
Department of Vitreo-Retinal Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai, Tamil Nadu, India.
Taiwan J Ophthalmol. 2021 Jul 6;11(3):321-324. doi: 10.4103/tjo.tjo_23_21. eCollection 2021 Jul-Sep.
We report a case of retinal pigment epithelial tear in a patient with peripheral exudative hemorrhagic chorioretinopathy (PEHCR). A 60-year-old diabetic female presented with left eye metamorphopsia. Fundus examination showed bilateral peripheral retinal pigment epithelium (RPE) degeneration, and a large serpentine-shaped RPE degeneration tract extending from the superotemporal arcade to the inferior periphery with associated subretinal hemorrhages in her left eye. This tract curved around the fovea, just sparing it. Fundus fluorescein and indocyanine green angiographies showed bilateral polyps in the superotemporal periphery. Optical coherence tomography through the tract showed scrolled up RPE at its edges with bare underlying Bruch's membrane and choroid in the region of the rip. There was no sign of an underlying pigment epithelial detachment. The patients with PEHCR should be prognosticated about such a rare vision-threatening macular complication.
我们报告了一例患有周边渗出性出血性脉络膜视网膜病变（PEHCR）的患者发生视网膜色素上皮撕裂的病例。一名60岁的糖尿病女性因左眼视物变形前来就诊。眼底检查显示双侧周边视网膜色素上皮（RPE）变性，在她的左眼有一条从颞上弓延伸至下方周边的大的蜿蜒状RPE变性带，并伴有视网膜下出血。这条带绕过黄斑，刚好未累及黄斑。眼底荧光素血管造影和吲哚菁绿血管造影显示双侧颞上周边有息肉。通过这条带进行的光学相干断层扫描显示，在撕裂区域其边缘的RPE呈卷曲状，下方的Bruch膜和脉络膜裸露。没有潜在色素上皮脱离的迹象。对于PEHCR患者，应就这种罕见的威胁视力的黄斑并发症进行预后评估。
