[Optical coherence tomographic findings of the retinal pigment epithelium tear in macular area preserving good visual acuity].
OBJECTIVE
It has been reported that the visual outcome of retinal pigment epithelial tear (RPE tear) in the fovea is worse than that of RPE tear sparing the fovea. We report optical coherence tomography (OCT) findings of 3 cases with RPE tear in the fovea who preserved good visual acuity.


METHODS
All patients had serous retinal pigment epithelial detachment involving the macula. The RPE was torn and rolled RPE was observed in the fovea. In OCT findings, a fovea was observed on the RPE flap, and visual acuity was preserved after RPE tear repair.


CONCLUSIONS
We considered that preservation of good visual acuity was due to the presence of a fovea on the RPE flap. We could precisely analyze the location of the fovea and RPE tear using OCT.
Department of Ophthalmology, Kansai Medical University, 10-15 Fumizonocho, Moriguchi 570 8507, Japan.
Tsuyoshi
T
Otsuji
Kanji
K
Takahashi
Kenichiro
K
Sho
Toshio
T
Fukuchi
Akiko
A
Tsumura
Miyo
M
Matsumura
D000368:Aged; D005260:Female; D006801:Humans; D008266:Macula Lutea; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D041623:Tomography, Optical Coherence; D014792:Visual Acuity