An 88-year-old woman presented with persistent subretinal fluid (SRF) and enlarging pigment epithelial detachments (PEDs) in each eye following 32 near monthly injections of anti–vascular endothelial growth factor (VEGF). Ocular history included presumed exudative age-related macular degeneration. Central serous chorioretinopathy was also suspected secondary to the presence of yellow subretinal deposits located within an inferior macular detachment in the right eye.
Visual acuity was 20/40 OD and 20/25 OS. She had pseudophakia with an otherwise normal anterior segment examination in each eye. Fundus examination was remarkable for macular PEDs and SRF in each eye. There was an epiretinal membrane in the left eye.