title: Giant pigment epithelial tear and exudative retinal detachment complicating choroidal effusions.
abstract: 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.
authors.affiliation: Vitreo Retinal Unit, Moorfields Eye Hospital, London, United Kingdom. AlLaidlaw@aol.com
authors.forename: D A
authors.initials: DA
authors.lastname: Laidlaw
authors.forename: R
authors.initials: R
authors.lastname: Poynter
mesh_terms: 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