A 74-year-old man presents with poor vision. Why?
Analysis
In this image there is separation of the RPE from Bruch's membrane. There is also significant disruption of the ellipsoid zone. To the temporal part of the image, there is thinning of the inner retina which also appears to be homogeneously hyper reflective.
The patient previously had inner retinal thickening (video), consistent with retinal artery occlusion.
In this tip's accompanying 9 min. video, we'll review:
- The different types of pigment epithelial detachments
- How retinal artery occlusion presents on OCT in its acute phase
- Causes of inner retinal thinning
OCT Tip
In anyone with inner retinal thinning, consider the possibility of retinal artery occlusion.
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