Abstract
PurposeTo evaluate the long‐term prognosis of visual acuity in the eyes with retinal pigment epithelial (RPE) tears treated with anti‐vascular endothelial growth factor (VEGF) repeatedly.MethodsSix eyes of 4 patients diagnosed with RPE tear were studied retrospectively. All the patients were followed up at least for 24 months. If there was evidence of active leaking from choroidal neovascular membrane despite RPE tear, anti‐VEGF injection was done repeatedly at the discretion of ophthalmologists.ResultsThe mean visual acuity was 20/500 in the break of RPE tear, and the final visual acuity was 20/200. Foveal involvement of RPE tear was the most important factor of the final visual acuity. Four eye with RPE tears involved foveola, although final visual acuity remained more than 20/200 in the two eyes. Anti‐VEGF injection varied from zero to 19. More anti‐VEGF injection was associated with the better final visual acuity.ConclusionsIn our study, RPE tear did not suggest poor visual acuity in the long‐term follow up known to be different. Active anti‐VEGF injection might be needed to improve visual acuity in the long term follow up.
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