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Retinal pigment epithelium (RPE) tears are an uncommon but visually damaging complication of pigment epithelial detachment (PED), caused by weak atrophic margins of chronic PED and contraction of sub-RPE fibrovascular scar tissue. RPE tears can occur spontaneously or following treatment of the choroidal neovascular (CNV) membrane. There have been reports of RPE tears following laser photocoagulation,1 transpupillary thermotherapy,2 photodynamic therapy with or without combined intravitreal triamcinolone3,4 and intravitreal Macugen.5 We report a case of a patient with PED with submacular haemorrhage and occult CNV who developed an RPE tear following intravitreal bevacizumab (Avastin).
A 74-year-old man presented with a 10-day history of diminished right visual acuity. The corrected visual …