Diffuse Retinal Pigmented Epiteliopathy - a Variant of Central Serous Choriore-tinopathy

Overview

The authors describe a group of eight patients ( four women and four men) withdiffuse retinal pigmented epiteliopathy ( four times unilateral and four timesbilateral) confirmed by fluoroangiography, in one instance with bullous elevationof the retina. The mean age of the patients was 57.3 years, the investigation periodwas 4 to 23 years, with a mean of 8.6 years. After laser coagulation which wasimplemented in four patients vision improved in one instance, in the remainingpatients vision was stabilized. In the patient with the bullous elevation of theretina vision improved after spontaneous flattening of the ablation. The authorsdiscuss the pathogenesis and clinical features typical for diffuse retinal pigmentedepitheliopathy.

Key words:
central serous chorioretinopathy, diffuse retinal pigmented epitheli-opathy, clinical features, prognosis, therapy