OCT Tip 238 was originally published on July 22th, 2022.
This 64-year-old has blurred vision. Why?
In this image there are significant areas of pockets of hyporeflectivity in the retina consistent with cystoid macular edema. There is also the presence of a hyperreflective lesion in the inner retina, consistent with a micro aneurysm. The patient was known to have a history of malignant melanoma treated with plaque radiotherapy (video).
The patient was diagnosed with radiation retinopathy.
In this tip's accompanying 11 min. video, we'll review:
- Causes of cystoid macular edema
- Presentation of radiation retinopathy
- Reinforce when to think/ask about a history of radiation
In a patient with cystoid macular edema, always consider the possibility of radiation retinopathy.
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