title: Retinal pigment epithelial tear and extensive exudative retinal detachment following blunt trauma.
abstract: BACKGROUND
  A peripheral retinal pigment epithelial tear and an extensive exudative retinal detachment caused by choroidal leakage from the denuded Bruch's membrane are extremely rare. A peripheral retinal pigment epithelial tear has not been reported in an eye with retinochoroidal folds after blunt ocular trauma.
  
  
  METHODS
  Case report.
  
  
  RESULTS
  The course of a large nasal peripheral retinal pigment epithelial tear that occurred after blunt ocular trauma in a patient with retinochoroidal folds was followed. The inferior retinal detachment caused by leakage from the denuded Bruch's membrane following the development of the tear gradually worsened. Initial treatment with cryotherapy was ineffective, but the retinal detachment eventually resolved after the patient underwent sclerectomy and sclerostomy.
  
  
  CONCLUSIONS
  A large peripheral retinal pigment epithelial tear can occur in patients with retinochoroidal folds following blunt ocular trauma, and extensive retinal detachment can be induced. Sclerectomy and sclerostomy can be beneficial in patients with an extensive exudative retinal detachment caused by choroidal leakage from the denuded Bruch's membrane.
authors.affiliation: Department of Ophthalmology, Mie University School of Medicine, Tsu, Japan. m-doi@clin.medic.mie-u.ac.jp
authors.forename: M
authors.initials: M
authors.lastname: Doi
authors.forename: S
authors.initials: S
authors.lastname: Osawa
authors.forename: M
authors.initials: M
authors.lastname: Sasoh
authors.forename: Y
authors.initials: Y
authors.lastname: Uji
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005122:Exudates and Transudates; D005131:Eye Injuries / Q000150:complications* / Q000175:diagnosis; D005260:Female; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006801:Humans; D010857:Pigment Epithelium of Eye / Q000293:injuries* / Q000473:pathology; D012163:Retinal Detachment / Q000175:diagnosis / Q000209:etiology*; D012167:Retinal Perforations / Q000175:diagnosis / Q000209:etiology*; D014792:Visual Acuity; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000175:diagnosis