A 26 years old male presented to the emergency with sudden diminution of vision in left eye. The fluores-cein angiography revealed a picture as shown below. A diagnosis of retinal tear was made. The optical co-herence tomography image is shown below. In which layers of retina, accumulation of fluid occurs?
A. Outer plexiform layer
B. Inner nuclear layer
C. Nerve fibre layer
D. Retinal pigment epithelium
Ans: D. Retinal pigment epithelium
(Ref Khurana 6/e p292. 5/e p29o; Yanoff and Duker 4/e p607)
- Probable diagnosis = Central serous retinopathy.
Central Serous Retinopathy:
- Fluid accumulates in subretinal space.
- Detachment of retinal pigment epithelium from neurosensory retina seen.
- The leakage of dye through an abnormal focal defect at the level of retinal pigment epithelium (RPE) and its accumulation in the subneural retinal space are seen clearly on fluorescein angiography.