Sulaiman Alhumaid1,2, Noy Ashkenazy1, Julia L Hudson1, Audina M Berrocal1, Harry W Flynn1. 1. Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, 900 NW 17 Street, Miami, Florida 33136. 2. Retina Macula Specialists of Miami, 184 NE 168 St. North Miami Beach, Florida 33162.
Abstract
PURPOSE: To describe two cases of multiple epithelial detachments (PEDs) occurring in otherwise young, healthy patients. METHODS: The medical and imaging records of two cases were reviewed retrospectively. RESULTS: Multiple serous non-vascularized pigment epithelial detachments (PEDs) were present in two young, healthy patients who underwent multimodal imaging. The first patient, a 38 year old woman, was incidentally found to have a visual acuity of 20/20 in both eyes and multiple bilateral PEDs. Imaging and a systemic work up was negative for secondary causes, and at 36 months vision remained stable although some of the PEDs had coalesced. The second patient, a 32 year old female, presented with distortion and perceived scotomas in both eyes progressive over the course of two years. Visual acuity was 20/20 and multimodal imaging confirmed the presence of bilateral PEDs. CONCLUSIONS: Bilateral idiopathic multifocal retinal PEDs in otherwise healthy young adults is a rare condition. Longer term follow up is needed to evaluate secondary complications and visual outcomes.
PURPOSE: To describe two cases of multiple epithelial detachments (PEDs) occurring in otherwise young, healthy patients. METHODS: The medical and imaging records of two cases were reviewed retrospectively. RESULTS: Multiple serous non-vascularized pigment epithelial detachments (PEDs) were present in two young, healthy patients who underwent multimodal imaging. The first patient, a 38 year old woman, was incidentally found to have a visual acuity of 20/20 in both eyes and multiple bilateral PEDs. Imaging and a systemic work up was negative for secondary causes, and at 36 months vision remained stable although some of the PEDs had coalesced. The second patient, a 32 year old female, presented with distortion and perceived scotomas in both eyes progressive over the course of two years. Visual acuity was 20/20 and multimodal imaging confirmed the presence of bilateral PEDs. CONCLUSIONS: Bilateral idiopathic multifocal retinal PEDs in otherwise healthy young adults is a rare condition. Longer term follow up is needed to evaluate secondary complications and visual outcomes.