title: Tears of the retinal pigment epithelium: occurrence in association with choroidal effusion.
abstract: Two patients developed large tears of the retinal pigment epithelium associated with choroidal effusion. One tear occurred after combined cataract/filtration surgery complicated by postoperative choroidal detachment; the second developed in a patient with idiopathic uveal effusion syndrome. Weakness of the junctions of the pigment epithelial cells secondary to the accumulation of fluid in the subretinal or suprachoroidal space may result in tearing of the retinal pigment epithelium as it is stretched.
authors.affiliation: Department of Ophthalmology, New York Eye and Ear Infirmary, NY 10003.
authors.forename: S R
authors.initials: SR
authors.lastname: Serels
authors.forename: J M
authors.initials: JM
authors.lastname: Liebmann
authors.forename: R
authors.initials: R
authors.lastname: Ritch
authors.forename: F
authors.initials: F
authors.lastname: Milch
authors.forename: W
authors.initials: W
authors.lastname: Eisenberg
mesh_terms: D000368:Aged; D002387:Cataract Extraction / Q000009:adverse effects; D015862:Choroid Diseases / Q000150:complications*; D005122:Exudates and Transudates; D005260:Female; D005902:Glaucoma, Open-Angle / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010857:Pigment Epithelium of Eye; D012167:Retinal Perforations / Q000150:complications* / Q000209:etiology; D013577:Syndrome; D014603:Uveal Diseases / Q000150:complications