Summary
The fluorescein angiographic findings immediately following a tear of the retinal pigment epithelium are presented and the mechanisms of fluid movement from the retina to the choroid are discussed. Our case represents a clinical correlate to recent experimental reports on fluid movement across the retinal pigment epithelium-Bruch's membrane complex.
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Hoskin A, Bird AC, Sehmi K. Tears of detached retinal pigment epithelium. Br J Ophthalmol 1981; 65: 417–22.
Cantrill HL, Ramsay RC, Knobloch WH. Rips in the pigment epithelium. Arch Ophthalmol 1983; 101: 1074–9.
Decker WL, Sanborn GE, Ridley M, Annesley WH, Sorr EM. Retinal pigment epithelial tears. Ophthalmology 1983; 90: 507–12.
Casswell AG, Kohen D, Bird AC. Retinal pigment epithelial detachments in the elderly: classification and outcome. Br J Ophthalmol 1985; 69: 397–403.
Chuang EL, Bird AC. Repair after tears of the retinal pigment epithelium. Eye 1988; 2: 106–113.
Peyman GA, Spitznas M, Straatsma BR. Peroxidase diffusion in the normal and photocoagulated retina. Invest Ophthalmol 1971; 10: 181–9.
Peyman GA, Spitznas M, Straatsma BR. Chorioretinal diffusion of peroxidase before and after photocoagulation. Invest Ophthalmol 1971; 10: 489–95.
Marshall J, Mallerio J. Disappearance of retinoepithelial scar tissue from ruby laser photocoagulation. Exp Eye Res 1971; 12: 173–4.
Marshall J, Mallerio J. Laser irradiation of retinal tissue. Br Med Bull 1970; 26: 156–60.
Wallow IHL. Healing of the RPE barrier. Arch Ophthalmol 1984; 102: 126–35.
Duvall J, Tso MOM. Cellular mechanisms of resolution of drusen after laser coagulation. Arch Ophthalmol 1985; 103: 694–703.
Bird AC, Marshall J. Retinal pigment epithelial detachments in the elderly. Trans Ophthalmol Soc UK 1986; 105: 674–82.
Miller SS, Steinberg RH. Active transport of ions across frog retinal pigment epithelium. Exp Eye Res 1977; 25: 235–48.
Marmor MF, Abdul-Rahim AS, Cohen DS. The effect of metabolic inhibitors on retinal adhesion and subretinal fluid absorption. Invest Ophthalmol 1980; 19: 893–903.
Marmor MF, Maack T. Enhancement of retinal adhesion and subretinal fluid resorption by acetazolamide. Invest Ophthalmol 1982; 23: 121–4.
Marmor MF, Negi A. Pharmacologic modification of subretinal fluid absorption in the rabbit eye. Arch Ophthalmol 1986; 104: 1674–7.
Negi A, Marmor MF. Mechanisms of subretinal fluid resorption in the cat eye. Invest Ophthalmol 1986; 27: 1560–3.
Tsuboi S, Pederson JE. Experimental retinal detachment. XI. Furosemide-inhibitable fluid absorption across retinal pigment epithelium in vivo. Arch Ophthalmol 1986; 104: 602–3.
Cox SN, Hay E, Bird AC. Treatment of chronic macular edema with acetazolamide. Arch Ophthalmol 1988; 106: 1190–5.
Peyman GA, Bok D. Peroxidase diffusion in the normal and laser-coagulated primate retina. Vis Sci 1972; 10: 181–9.
Negi A, Marmor MF. The resorption of subretinal fluid after diffuse damage to the retinal pigment epithelium. Invest Ophthalmol 1983; 24: 1475–9.
Foulds WS. Do we need a retinal pigment epithelium (or choroid) for the maintenance of retinal apposition? Br J Ophthalmol 1985; 69: 237–9.
Spitznas M. Pathogenesis of central serous retinopathy: a new working hypothesis. Graefe's Arch Clin Exp Ophthalmol 1986; 224: 321–4.
Gass JDM. Pathogenesis of tears of the retinal pigment epithelium. Br J Ophthalmol 1984; 68: 513–9.
Gass JDM. Retinal pigment epithelial rip during krypton red laser photocoagulation. Am J Ophthalmol 1984; 98: 700–6.
Chuang EL, Bird AC. The pathogenesis of tears of the retinal pigment epithelium. Am J Ophthalmol 1988; 105: 285–2.
Teeters VW, Bird AC. The development of neovascularization of senile macular degeneration. Am J Ophthalmol 1973; 76: 1–18.
Green SN, Yarian D. Acute tear of the retinal pigment epithelium. Retina 1983; 3: 16–20.
Gass JDM. Pathogenesis of disciform detachments of the neuroepithelium. 3. Senile disciform macular degeneration. Am J Ophthalmol 1967; 63: 617–44.
Miller H, Miller B, Ryan SJ. The role of retinal pigment epithelium in the involution of subretinal neovascularization. Invest Ophthalmol 1986; 27: 1644–52.
Mancini MA, Frank RN, Keirn RJ, Kennedy A, Khoury JK. Does the retinal pigment epithelium polarize the choriocapillaris? Invest Ophthalmol 1986; 27: 336–5.
Korte GE, Reppucci V, Henkind P. RPE destruction causes choriocapillaris atrophy. Invest Ophthalmol 1984; 25: 1135–45.
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Patel, B.C.K., Barondes, M. & Hamilton, A.M.P. Acute tear of the retinal pigment epithelium. Int Ophthalmol 16, 7–13 (1992). https://doi.org/10.1007/BF00917066
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DOI: https://doi.org/10.1007/BF00917066