Is hyperreflectivity in retina always abnormal?

Fluid or normal?

Thickened inner retina

Don't assume that subretinal fluid (SRF) equals wet age-related macular degeneration (AMD)

Numerous white spots in the retina

Always look at the choroid in all patients with subretinal fluid (SRF)

On every OCT look at the choriocapillaris

Irregular pigment epithelial detachment (PED)

A hyperreflective lesion in the superficial retina

Cystic pigment epithelial detachment (PED)

Hyperintense OCT material is not always exudate or hemorrhage

Choroidal neovascular membrane (CNV) with a thin choroid