A patient presented with blurring and a pigmented lesion. Why?
Analysis
Here there is significant retinal thickening. The main pathology is elevation and thickening of the RPE. The RPE is also located anteriorly (RPE pigment migration). This area corresponded to a pigmented area on examination (video). There was also evidence of neovascularization on OCTA (video).
The patient was treated for choroidal neovascularization which was anteriorly located.
In this tip's accompanying 16 min. video, we'll review:
- The differential diagnosis of a dark pigmented lesion
- The features of a combined retinal hamartoma
- How superficial neovascularization appears on an OCTA
OCT Tip
In a patient with pigmentation, vascular tortuosity and glial elements, consider the possibility of a combined hamartoma.
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