Deposit | Site | Ultrastructural features on EM |
---|---|---|
Bruch’s membrane change | predominantly OCZ | coated membrane bound bodies intact or ruptured |
Entrapment sites | rest on ICZ | as above |
raise RPE bm | coated membrane bound bodies | |
Membranous debris | three sites: | coiled membranes |
(1) internal to RPE bm | bilayered structure of lipids | |
(2) within RPE bm | not coated | |
(3) external to RPE bm | ||
only in presence of BLD |
EM = transmission electron microscopy; OCZ = outer collagenous zone of Bruch’s membrane; ICZ = inner collagenous zone of Bruch’s membrane; RPE bm = basement membrane of the retinal pigment epithelium; BLD = basal laminar deposit.