Volume.117 Number.7

Original article : Case report

Solitary Pigment Epithelial Lesion Accompanied by Uveal Effusion with Bullous Retinal Detachment
Kei Takayama1, Tadashi Muraoka1, Kaoru Nakamura2, Masaru Takeuchi1
1 Department of Ophthalmology, National Defense Medical College
2 Department of Ophthalmology, Tokorozawa Central Hospital

Purpose: To report a case of solitary pigment epithelial lesion accompanied by uveal effusion (UE) with bullous retinal detachment (RD).
Case: A 63-year-old man was referred to our hospital for RD in his right eye. Best corrected visual acuity was 20/20 and intraocular pressure was 14 mmHg in the right eye. Fundus examination showed UE in the entire peripheral zone with bullous RD in the inferior retina and a grayish-white placoid lesion with indistinct border at the level of the retinal pigment epithelium at the temporal area near the macula in the right eye. No retinal tear was found, and anterior chamber depth and axial length were within the normal range. Fluorescein angiography indicated dye leakage from the placoid lesion, but pooling of dye was not intensive. Since posterior scleritis was not excluded, a systemic corticosteroid was administered but the UE with bullous RD did not improve, thererfore, photocoagulation for the placoid lesion was performed. This gradually ameliorated the UE with bullous RD, and it resolved at 4 months after the first visit without any further recurrence.
Conclusion: Solitary pigment epithelial lesion can cause UE with bullous RD as in multifocal posterior pigment epitheliopathy (MPPE).
Nippon Ganka Gakkai Zasshi (J Jpn Ophthalmol Soc) 117: 554-557, 2013.

Key words
Uveal effusion, Bullous retinal detachment, Central serous chorioretinopathy (CSC), Multifocal posterior pigment epitheliopathy (MPPE)
Reprint requests to
Kei Takayama, M.D. Department of Ophthalmology, National Defense Medical College. 3-2 Namiki, Tokorozawa-shi, Saitamaken 359-8513, Japan