Giant pigment epithelial tear and exudative retinal detachment complicating choroidal effusions.
OBJECTIVE
To report a case of a giant pigment epithelial tear and transient exudative retinal detachment occurring in a patient with hypotonic choroidal effusions after trabeculectomy.


METHODS
Case report and brief literature review.


RESULTS
The retinal and choroidal detachments settled, disclosing an extremely large crescentic pigment epithelial defect in the temporal midperiphery.


CONCLUSIONS
An exudative retinal detachment secondary to a peripheral pigment epithelial rip may complicate choroidal effusions. Recognition of this association may prevent unnecessary investigation or surgery.
Laidlaw
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DA
Vitreo Retinal Unit, Moorfields Eye Hospital, London, United Kingdom. AlLaidlaw@aol.com
Poynter
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D015862:Choroid Diseases / Q000150:complications*; D005122:Exudates and Transudates; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D005902:Glaucoma, Open-Angle / Q000150:complications / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D010857:Pigment Epithelium of Eye / Q000473:pathology*; D012163:Retinal Detachment / Q000175:diagnosis / Q000209:etiology*; D012167:Retinal Perforations / Q000175:diagnosis / Q000209:etiology*; D014130:Trabeculectomy / Q000009:adverse effects; D014792:Visual Acuity