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Ultra-High Resolution Optical Coherence Tomography of Retinal Pigment Epithelial Tear Following Blunt Trauma
Arch Ophthalmol. 2006;124:281-283.
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Tears of the retinal pigment epithelium (RPE) were first described in 1981 by Hoskin et al1 as a complication of detached pigment epithelium in patients with age-related macular degeneration. Since then, RPE tears have also been described in patients with chorioretinal scarring in retinal detachments, with subretinal neovascular membranes, following glaucoma surgery, and after laser photocoagulation of pigment epithelium detachments.2-4 We describe a patient who developed an RPE tear following blunt trauma to the eye. Ultra-high resolution optical coherence tomography was performed, and it provided unprecedented visualization.
Report of a Case
A 43-year-old woman reported falling and hitting her head and left eye on a wooden rail 1 week prior to her initial visit. After the swelling in her left eye subsided, she noticed decreased vision in that eye. At the time, the best-corrected visual acuities were 20/100 OD and 20/70 OS. Ocular history was significant for amblyopia in the right eye. Amsler grid . . . [Full Text of this Article]
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AUTHOR INFORMATION
Annie Chan, MD;
Jay S. Duker, MD;
Tony H. Ko, PhD;
Joel S. Schuman, MD;
James G. Fujimoto, PhD
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