A patient presents with bilateral blurred vision. Why?
Analysis
On this OCT there is clear evidence of deep retinal pathology on the section of the image close to the optic nerve. There Is hyper reflective material in the outer plexiform/outer nuclear layer consistent with exudate. In addition, there is both sub retinal fluid and sub retinal hyper reflective material (SHRM). This corresponded to a macular star; the patient also had bilateral disc swelling (video).
The patient was treated for hypertensive retinopathy.
In this tip's accompanying 18 min. video, we'll review:
- The differential diagnosis of exudate
- Review the concept of the blood retinal barrier
- Learn the difference between hypertensive retinopathy and choroidopathy
OCT Tip
In a patient with exudation, especially with disc swelling, hypertension needs to be ruled out. This could represent a medical emergency (high fatality rate).
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