Idiopathic multifocal pigment epithelial detachments
This 47-year-old lady attended for a routine sight test without any symptoms. Her corrected visual acuities were 6/6 bilaterally. OCT scans were carried out as part of her assessment.
Colour photograph and OCT scan – right macula
Colour photograph and OCT scan – left macula
The colour photographs show multiple pigment epithelial detachments (PEDs), which is in keeping with the OCT findings.
Idiopathic multifocal pigment epithelial detachment (IMPED) is thought to be a variant of central serous chorioretinopathy (CSCR). Most case series suggest that this condition predominantly affects middle-aged women. The visual prognosis is usually good with no intervention indicated unless complicated by a secondary choroidal neovascular membrane.
A case report and short review of the literature can be found here.