Two types of optical coherence tomographic images of retinal pigment epithelial detachments with different prognosis.

AIMS To report the optical coherence tomographic (OCT) findings in retinal pigment epithelium (RPE) detachments. METHODS 24 eyes were analysed by OCT and by fluorescein (FAG) and/or indocyanine green angiography. RESULTS RPE detachments were classified by the OCT images into those with a partial or total highly reflective line in the area of the detachment (nine eyes), and those that showed the same reflex in the detached area as in other parts (15 eyes). The nine eyes had irregular hyperfluorescence by FAG, significantly larger detachments, and lower visual acuity than the 15 eyes. CONCLUSION The OCT showed that two types of RPE detachments are associated with eyes with different characteristics.