{"title":"Butterfly-shaped pattern dystrophy complicated by retinal pigment epithelium tear - case report.","authors":"Zuzana Anwarzai Sulavikova","doi":"10.1177/11206721251341121","DOIUrl":null,"url":null,"abstract":"<p><p>IntroductionTo report a rare case of a 71-year-old male with bilateral butterfly-shaped pattern dystrophy (BPD) who developed a retinal pigment epithelium (RPE) tear in the left eye. Pattern dystrophies are a group of autosomal dominant macular diseases characterized by various patterns of pigment deposition within the RPE. While pattern dystrophies typically carry a favorable visual prognosis, complications such as RPE tears are exceedingly rare.Case presentationInitial examination revealed bilateral butterfly-shaped lesions consistent with pattern dystrophy, with a central oval RPE tear detected in the left eye. Despite three injections of bevacizumab, no functional changes were observed and persistent visual impairment was noted during follow-up.ConclusionThis case highlights the rare occurrence of an RPE tear as a complication of butterfly-shaped pattern dystrophy.</p>","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"11206721251341121"},"PeriodicalIF":1.4000,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Ophthalmology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/11206721251341121","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
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Abstract
IntroductionTo report a rare case of a 71-year-old male with bilateral butterfly-shaped pattern dystrophy (BPD) who developed a retinal pigment epithelium (RPE) tear in the left eye. Pattern dystrophies are a group of autosomal dominant macular diseases characterized by various patterns of pigment deposition within the RPE. While pattern dystrophies typically carry a favorable visual prognosis, complications such as RPE tears are exceedingly rare.Case presentationInitial examination revealed bilateral butterfly-shaped lesions consistent with pattern dystrophy, with a central oval RPE tear detected in the left eye. Despite three injections of bevacizumab, no functional changes were observed and persistent visual impairment was noted during follow-up.ConclusionThis case highlights the rare occurrence of an RPE tear as a complication of butterfly-shaped pattern dystrophy.
期刊介绍：
The European Journal of Ophthalmology was founded in 1991 and is issued in print bi-monthly. It publishes only peer-reviewed original research reporting clinical observations and laboratory investigations with clinical relevance focusing on new diagnostic and surgical techniques, instrument and therapy updates, results of clinical trials and research findings.
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