OCT Tip 265 was originally published on July 07th, 2023.
A patient presented with poor vision. Why?
Analysis
Here there is bowing of the posterior retina There is a focal area of hyperreflectivity and partial vitreous separation. There is also significant thickening of the retinal pigment epithelium, in addition to some subretinal fluid. A and B scans demonstrated a choroidal lesion (video) as did fundus imaging.
The patient was diagnosed with suspicious choroidal nevus .
In this tip's accompanying 8 min. video, we'll review:
- The differential diagnosis of a deep retinal lesions
- Clinical characteristics of a suspicious nevus
OCT Tip
In a patient subretinal fluid, always consider the possibility of a nevus.
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