Fibrovascular PEDs typically present as what type of elevation with what surface texture?

Fibrovascular pigment epithelial detachments (PEDs) are indeed characterized as retinal pigment epithelium (RPE) elevations that have an irregular surface. This irregularity arises from the underlying fibrovascular tissue components within the PED, which contribute to its atypical surface contour. Unlike other types of retinal elevations, the irregular surface of fibrovascular PEDs can indicate the presence of associated pathologies, such as choroidal neovascularization (CNV), which can complicate the clinical picture.

Recognizing the specific characteristics of fibrovascular PEDs is important for differential diagnosis and management. The irregular surface texture contrasts with the smoother surfaces seen in other types of PEDs or retinal elevations, highlighting the unique pathophysiological processes at play with fibrovascular involvement. Understanding these distinctions can aid clinicians in diagnosing conditions such as age-related macular degeneration (AMD) and making informed treatment decisions.