Idiopathic serous detachment of the retinal pigment epithelium
M. L. Lewis
Twenty-one patients under age 55 had idiopathic serous detachments of the
retinal pigment epithelium (rpe) one-fifth disc diameter or larger in size.
In the absence of other choroidal diseases, such as senile mascular
degeneration, presumed ocular histoplasmosis syndrome, or anglioid streaks,
serous RPE detachments have a good prognosis and probably are a variant of
idiopathic central serous choroidopathy. The presence of associated
subretinal fluid involving the macula was the factor that had the most
effect on visual acuity. Serous detachments of the RPE should be
distinguished from multiple vitelliform lesions (a variant of vitelliform
dystrophy).
