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LETTER TO THE EDITOR
Year : 2020  |  Volume : 68  |  Issue : 4  |  Page : 672

Response to comment on: Flat irregular pigment epithelium detachment in central serous chorioretinopathy: A correlation with choroidal neovascular membrane


Smt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, L V Prasad Eye Institute, Hyderabad, Telangana, India

Date of Web Publication16-Mar-2020

Correspondence Address:
Dr. Jay Chhablani
Smt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, L V Prasad Eye Institute, Banjara Hills, Hyderabad - 500 034, Telangana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2044_19

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How to cite this article:
Gupta R, Chhablani J. Response to comment on: Flat irregular pigment epithelium detachment in central serous chorioretinopathy: A correlation with choroidal neovascular membrane. Indian J Ophthalmol 2020;68:672

How to cite this URL:
Gupta R, Chhablani J. Response to comment on: Flat irregular pigment epithelium detachment in central serous chorioretinopathy: A correlation with choroidal neovascular membrane. Indian J Ophthalmol [serial online] 2020 [cited 2020 Apr 2];68:672. Available from: http://www.ijo.in/text.asp?2020/68/4/672/280719



Response

We agree with the author's response that PNV is associated with the presence of Type 1 choroidal neovascularization, in between the RPE and Bruch's membrane, in the absence of soft drusen's and reduced fundus tessellation due to choroidal thickening at a younger age and all of the above features were seen in the case we have reported.[1]

PNV, as described in the literature,[2] is associated with localized choroidal thickening and dilated choroidal vessels as seen with enhanced depth optical coherence tomography. However, in our case, the changes are more generalized with diffuse RPE changes and choroidal thickening and there could be an antecedent CSCR component that cannot be ruled out. We agree that there may be an overlap between the two entities in our case. However, here we define the importance of reflectivity of the flat irregular PEDs,[3] which is unique.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Sodhi PS. Comment on: Flat irregular pigment epithelium detachment in central serous chorioretinopathy: Correlation with choroidal neovascular membrane. Indian J Ophthalmol 2020;68:671.  Back to cited text no. 1
  [Full text]  
2.
Pang CE, Freund KB. Pachychoroid neovasculopathy. Retina 2015;35:1-9.  Back to cited text no. 2
    
3.
Gupta R, Chhablani J. Flat irregular pigment epithelium detachment in central serous chorioretinopathy: Correlation with choroidal neovascular membrane. Indian J Ophthalmol 2019;67:1330-2.  Back to cited text no. 3
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