Spontaneous Retinal Pigment Epithelium Rips under Fovea with Preserved Good Visual Acuity Outcome

An 80-year-old lady was follow up in retina clinic for right only eye with Pigment Epithelium Detachment (PED). She had a history of left eye occult choroidal neovascularization, developed macula scar and legal blindness years ago despite repeated anti-Vascular Endothelial Growth Factor (anti-VEGF) injection. Upon regular follow-up, her right eye maculadeveloped serous PED centered at fovea, enlarging with time (Figure 1A, Figure 1B, Figure 1C and Figure 1D) throughout 2-years. There was no leakage, nor polyps/abnormal branch vascular network all along on serial Fundus Fluorescein Angiography (FFA) and Indocyanine Green Angiography respectively, thus anti-VEGF injection was never given to her right eye, or photodynamic therapy.