A 67-year-old hypertensive with sudden vision loss.
Analysis
In this OCT there is peaking of the retina centrally, due to significant retinal fluid. This can be seen as numberous cysts located in both the inner and outer retinal layers. There is also significant hyperreflectivity of the inner retinal layers. The hyperreflectivity is causing shadowing of the deeper tissues.
This patient had a central retinal vein occlusion (CRVO).
OCT Tip
In anyone with an peaked retina, consider retinal vein occlusion in your differential diagnosis.
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