Pigment epithelial detachments in age related macular degeneration

Arch Soc Esp Oftalmol (Engl Ed). 2025 Jun;100(6):340-350. doi: 10.1016/j.oftale.2025.05.005. Epub 2025 May 10.

Abstract

Pigment epithelial detachments (PEDs) form a heterogeneous group of lesions of diverse prognosis and treatment that have in common the pathologic elevation of the retinal pigment epithelium plane and its detachment from the underlying layers. Although PEDs are a common finding in age-related macular degeneration, especially in its exudative forms, the diagnostic characterization and prognostic estimation of these lesions is a clinical challenge that necessarily requires a multimodal imaging approach. This review presents the clinical characteristics of the different groups of PED, their diagnostic imaging profile, as well as their natural history.

Keywords: AMD; Angiografía OCT; Anti VEGF intravítreo; Biomarcadores; Biomarkers; DMAE; Desprendimiento de epitelio pigmentario; Epithelial pigment detachment; Imagen multimodal; Intravitreal anti VEGF; Multimodal imaging; OCT angiography.

Publication types

  • Review

MeSH terms

  • Humans
  • Macular Degeneration* / complications
  • Retinal Detachment* / diagnosis
  • Retinal Detachment* / diagnostic imaging
  • Retinal Detachment* / etiology
  • Retinal Pigment Epithelium* / pathology
  • Tomography, Optical Coherence