title: Serous retinal pigment epithelial detachment with a notch. A sign of occult choroidal neovascularization.
abstract: One or more signs of occult neovascularization usually accompany large serous detachments of the retinal pigment epithelium occurring in patients older than 50 years of age. Evidence is presented that a flattened or notched border of these detachments is a frequently encountered and an important biomicroscopic and fluorescein angiographic sign of hidden choroidal neovascular complex, most of which lies outside the area of the serous detachment of the pigment epithelium. A clinical trial is required to determine the reliability of the various signs of occult neovascularization and the effectiveness of laser photocoagulation in these patients.
mesh_terms: D000368:Aged; D002829:Choroid / Q000098:blood supply*; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D053685:Laser Therapy; D008297:Male; D008875:Middle Aged; D009389:Neovascularization, Pathologic / Q000150:complications / Q000175:diagnosis*; D012163:Retinal Detachment / Q000209:etiology* / Q000601:surgery; D012189:Retrospective Studies