Multimodal Imaging of Bilateral Idiopathic Multifocal Retinal Pigment Epithelial Detachments in Young Patients

• Published in: Retinal cases & brief reports
• Main Authors: Alhumaid, Sulaiman, Ashkenazy, Noy, Hudson, Julia L, Berrocal, Audina M, Flynn, Jr, Harry W
• Format: Journal Article
• Language: English
• Published: United States 01.11.2023
• ISSN: 1937-1578
• DOI: 10.1097/ICB.0000000000001274

To describe two cases of multiple epithelial detachments (PEDs) occurring in otherwise young, healthy patients. The medical and imaging records of two cases were reviewed retrospectively. 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. 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.