A 59-year-old presents with new floaters and blurring. Why?
Analysis
There is some hyperreflectivity in the inner plexiform just nasal to the fovea. Just temporal to the fovea, there is an area of hyperreflectivity in the inner nuclear area adjacent to a cyst. There is a shadow in the most temporal part of the image. Fundus photography shows hemorrhage in the vitreous and the OCTA shows some ischemia (video).
The patient was diagnosed with Hyperreflectivity in the Middle Retina.
In this tip's accompanying 6 min. video, we'll:
- Review causes of neovascularization
- Review the difference between the superficial and deep capillary plexus
- Review causes of vitreous opacification
OCT Tip
In any patient new-onset floaters think of the possibility of neovascularization even if there is no history of diabetes.
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