OCT Tip 218 was originally published on June 18th, 2021.
An elderly patient is noted to have hyperreflectivity in the deep retina on OCT. Why?
Analysis
This is a vertical image of the disc and retina superior to it. There is clear separation of the RPE from the underlying Bruch’s membrane. In addition, there is hyperreflectivity superior to the RPE (SHRM or subretinal hyperreflective material). This area of hyperreflectivity corresponded to hemorrhage.
The patient was treated for subretinal hemorrhage secondary to a CNV (hyperreflectivity on OCTA - see video).
In this tip's accompanying 9 min. video, we'll review:
- The cause of neovascularization
- The location of new vessels on OCTA
- How to recognize the orientation of an OCT
OCT Tip
In a patient with deep hyperreflectivity of the retina adjacent or near the retina, think of a peripapillary CNV.
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