This 47-year-old lady attended for a routine sight test without any symptoms. Her corrected visual acuities were 6/6 bilaterally. OCT scans were carried out as part of her assessment.
The colour photographs show multiple pigment epithelial detachments (PEDs), which is in keeping with the OCT findings.
Idiopathic multifocal pigment epithelial detachment (IMPED) is thought to be a variant of central serous chorioretinopathy (CSCR). Most case series suggest that this condition predominantly affects middle-aged women. The visual prognosis is usually good with no intervention indicated unless complicated by a secondary choroidal neovascular membrane.
A case report and short review of the literature can be found here.