Serous retinal pigment epithelial detachment with a notch. A sign of occult choroidal neovascularization

Retina. Fall-Winter 1984;4(4):205-20. doi: 10.1097/00006982-198400440-00001.


One or more signs of occult neovascularization usually accompany large serous detachments of the retinal pigment epithelium occurring in patients older than 50 years of age. Evidence is presented that a flattened or notched border of these detachments is a frequently encountered and an important biomicroscopic and fluorescein angiographic sign of hidden choroidal neovascular complex, most of which lies outside the area of the serous detachment of the pigment epithelium. A clinical trial is required to determine the reliability of the various signs of occult neovascularization and the effectiveness of laser photocoagulation in these patients.

Publication types

  • Case Reports
  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Aged
  • Choroid / blood supply*
  • Female
  • Fluorescein Angiography
  • Humans
  • Laser Therapy
  • Male
  • Middle Aged
  • Neovascularization, Pathologic / complications
  • Neovascularization, Pathologic / diagnosis*
  • Retinal Detachment / etiology*
  • Retinal Detachment / surgery
  • Retrospective Studies