An 88-year-old presents with distortion. This image is consistent with which diagnosis?
Analysis
There is a significant dome-shaped elevation in the macular area. There is clear separation of the ellipsoid zone from the RPE near the optic nerve. In the central macula there is significant accumulation of subretinal hyper-reflective material (SHRM). This corresponded with an area of subretinal hemorrhage (see video).
The patient was diagnosed with subretinal hemorrhage secondary to a choroidal neovascular membrane.
In this tip's accompanying 6 min. video, we will review:
- Causes of dome-shaped lesions
- Causes of subretinal fluid
- How to diagnoses a pigment epithelial detachment
OCT Tip
In any patient with SRHM, this represents a CNV until proven otherwise.
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