A 55-year-old presents with chronic visual loss. What is your diagnosis?
Analysis
This patient has some disruption of their ellipsoid zone, and thinning of their outer segments in the area anterior to the RPE elevation. The RPE is elevated from Bruch’s membrane, and both are visible on OCT.
This patient had an RPE tract sign (video) and was diagnosed with atypical central serous retinopathy.
In this tip's accompanying 16 min. video, Dr. Sharma takes you through additional diagnostic imagery as well as:
- Review your differential diagnosis for deep retinal lesions
- Review the risk factors for CSCR
- Review a differential diagnosis for foveal subretinal fluid
OCT Tip
An RPE tract sign is very specific for central serous chorioretinopathy.
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