OCT Tip 210 was originally published on March 12th, 2021.
Why is this retina thickened?

Analysis
Here the majority of the retina is within normal limits. At the edge of the right side of the image there is elevation of the deep retina. This is beneath the area where the retinal nerve fiber layer is thickening - indicating that the lesion is in the peri-papillary area. Here the RPE is elevated from Bruch’s membrane. The patient was noted to have sub retinal hemorrhage on clinical examination (video).
The patient was treated for a peri-papillary CNV secondary to AMD.
In this tip's accompanying 9 min. video, we'll review:
- Review the causes of peripapillary changes
- Learn different causes of peripapillary CNV

OCT Tip
In a patient with a deep elevation near the optic disc, a peripapillary net (CNV) needs to be ruled out.
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