An 88-year-old presents with distortion. This image is consistent with which diagnosis?

Tip #297

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
Tip #297 Analysis

OCT Tip

In any patient with SRHM, this represents a CNV until proven otherwise.

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