OCT Tip 202 was originally published on January 8th, 2021.
A 65-year-old presents with distortion. Why?
Analysis
In this image, the inner retina is normal, with the exception of the area of hyper reflectivity located at the edge of the image (left). This is consistent with cloudy swelling and the presence of a middle limiting membrane (MLM). There is significant intraretinal fluid and exudate.
The patient was diagnosed with diabetic macular edema; the cloudy swelling was through a segment of cloudy swelling.
In this tip's accompanying 12 min. video, we'll review:
- Causes of macular edema
- Why it is important to review the retinal periphery in all causes of macular edema
- The different types of retinal detachment
OCT Tip
Hyperreflectivity in the outer plexiform layer is exudate until proven otherwise; consider causes of retina vascular disease in these cases.
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