Dr.RUKSANA AYUB K, R20227
Idiopathic bilateral multifocal retinal pigment epithelial detachment (RPED) is an extremely rare condition and is often observed as an incidental clinical finding. The exact pathophysiology and natural course of this disease is not known. We observed a case of multifocal RPED in otherwise asymptomatic (BCVA=20/20) 52 year female. Enhanced depth OCT confirmed the diagnosis of multifocal RPED associated with focal pachychoroid features on indocyanine green angiography, which were not described before, and foci of central serous chorioretinopathy (CSCR) overlying pachychoroid. Patient remained asymptomatic over 1 year follow-up maintaining 20/20 vision. The benign nature of this entity with risk of developing CSCR and role of multimodal imaging has been emphasized in this case.
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