Table 2

Comparison of material seen in Bruch’s membrane, entrapment sites, and membranous debris

DepositSiteUltrastructural features on EM
Bruch’s membrane changepredominantly OCZcoated membrane bound bodies intact or ruptured
Entrapment sitesrest on ICZas above
raise RPE bmcoated membrane bound bodies
Membranous debristhree sites:coiled membranes
(1) internal to RPE bmbilayered structure of lipids
(2) within RPE bmnot 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.