Tears of the retinal pigment epithelium is less common complication of RPE ablation. There is a discussion about the pathogenesis and the reasons of the disease’s origin. The presence of drusen reflects congenital changes of Bruch’s membrane with a tendency to rise the RPE tears after the former detachment. Demonstrated patient before the foundation of a tear was followed up for drusen in maculae bilaterally. There is reported the very characteristical ophthalmosco- pic and mainly fluorescein angiographic appearance accompanied with a sudden loss of vision and the foundation of a fibrovascular scar.

        Key words: tear of the RPE, Bruch’s membrane drusen, fluorescein angiography