OCT Tip 235 was originally published on June 17th, 2022.

He noted new distortion in both eyes. Why?

Tip #235

Analysis

The inner retinal layers are within normal limits. There is significant subretinal fluid as the photoreceptors have lifted off the RPE. The ellipsoid is thickened and there is RPE separation from Bruch's membrane. The patient's other eye showed RPE thickening which corresponded to an area of lacy hyper reflectivity on OCTA at the ORCC level (video).

The patient was treated for Central Serous Chorioretinopathy (acute on the left) and resolved but complicated with a CNV on the right.

In this tip's accompanying 12 min. video, we'll review:

  • Review which conditions present with subretinal fluid
  • Learn how to interpret an OCTA
  • Review causes of CNV
 

OCT Tip

In a patient with CNV, always consider the possibility of concomitant active or resolved CSCR.

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