Clinical findings may include:
(1) The patient presents with a decrease in visual acuity or blurred vision, which is often unilateral.
(2) Other complaints may include metamorphopsia, micropsia and/or a dark spot in the center of the visual field.
(3) Males tend to be affected more often than females.
(4) It tends to affect young or middle-aged adults.
(5) The presence of one or more risk factors supports the diagnosis.
(6) Visual acuity usually improves if the cause is identified and corrected.
Diagnostic studies may include:
(1) fundoscopy
(2) slitlamp biomicroscopy
(3) optical coherence tomography
(4) fluorescein angiography
These demonstrate detachment of the retinal pigment epithelium at the posterior pole (often at the macula) with subretinal fluid accumulation. .
