A 75-year-old woman presents with new floaters. Why?

Tip #237

Analysis

In this image there is a peaked elevation of the inner retina. In addition, there is inner retinal hyper-reflectivity. On angiogram, a hyperfluorescent lesion was noted contiguous with a branch retinal artery.

The patient was diagnosed with a retinal artery macroaneurysm.

In this tip's accompanying 9 min. video, we'll review:

  • Causes of intraretinal hyper reflectivity
  • Epidemiology of RAM
  • Morphology of RAM lesions
Tip #237 Analysis

OCT Tip

In a patient with inner retinal thickening, consider the possibility of a retinal artery macroaneurysm.

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