A 55-year-old presents with a visible lesion near the optic nerve. What might this be?
Analysis
The OCT in the temporal area is normal. In the nasal macular area there some hyperreflectivitiy in the anterior retina. In the deep retina the ellipsoid zone is attenuated. There is hyperreflectivity deep to Bruch’s membrane On exam, the patient has a visible shunt vessel at the disc. On OCTA there was loss of capillary volume in the deep capillary plexus.
The patient was diagnosed with a small choroidal nevus and previous retinal vein occlusion. The patient also had a retinal vein occlusion in the other eye.
In this tip's accompanying 6 min. video, we'll:
- Learn the different parts of the OCTA
- Review how to recognize DRIL
- Review the importance of looking at an OCT below the RPE
OCT Tip
In any patient with disorganization or thinning of the inner retina, consider an ischemic process and rule out diabetic retinopathy or vein occlusion.
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