Serous Pigment Epithelial Detachment

A serous pigment epithelial detachment occurs when the sensory retina detaches from the pigment epithelial layer due to inflammation, injury, or vascular abnormalities. A serous pigment epithelial detachment often occurs in conjunction with central serous chorioretinopathy. This is because of the fluid that accumulates in the subretinal space.
Serous pigment epithelial detachments occur in people of all ages. They are most often associated with retinopathy or other retinal diseases. Sudden vision changes such as floaters, blurry or distorted central vision, flashes of light, or “shadows” that sweep inward from the periphery might indicate a retinal detachment.
Retinal detachments require surgery. Left untreated, the retina can detach completely and can cause blindness. However, there are several surgical options for retinal detachments, and all are highly successful. Laser photocoagulation is used to seal off tears or holes. Surgical procedures to re-attach the retina include scleral buckling, vitrectomy, and pneumatic retinopexy. It is important to know that even after the retina is successfully re-attached, vision may not be perfectly restored.

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