A patient noticed new floaters. Why?
Analysis
Here there is a significant area of dense hyperreflectivity in the superficial retina. The area of interest isolated anterior to the internal limiting membrane and for the most part posterior to the posterior hyaloid face. This area corresponded to an area of sub-hyaloid hemorrhage.(video)
The patient was diagnosed with proliferative diabetic retinopathy .
In this tip's accompanying 5 min. video, we'll review:
- The location of superficial retinal hemorrhages.
- Conditions which present with sub-hyaloid vs subILM hemorrhages.
- How these hemorrhages are managed.
OCT Tip
In a patient with superficial hyperreflectivity, consider the diagnosis of sub-hyaloid and sub-ILM blood.
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