Hoskin A, Bird A C, Sehmi K
Br J Ophthalmol. 1981 Jun;65(6):417-22. doi: 10.1136/bjo.65.6.417.
Ripping of detached pigment epithelium appears to be a common sight-threatening complication of pigment epithelial detachments and occurs at the junction of the detachment and flat pigment epithelium. The characteristics of the detachment prior to the rip suggest that the tear occurs in pigment epithelium which is detached without its basement membrane. The tear is followed by retraction of the pigment epithelium, revealing bare Bruch's membrane. The defect may remain apparently unaltered, or may be recovered by normal looking pigment epithelium, but most commonly is replaced by a fibrous plaque. Most patients had a profound reduction in visual acuity.
脱离的色素上皮撕裂似乎是色素上皮脱离常见的威胁视力的并发症，发生在脱离区与扁平色素上皮的交界处。撕裂前脱离的特征表明，撕裂发生在没有基底膜的脱离色素上皮中。撕裂后色素上皮回缩，露出裸露的布鲁赫膜。缺损可能明显保持不变，或被外观正常的色素上皮修复，但最常见的是被纤维斑块取代。大多数患者视力严重下降。
