A 54-year-old presents with new distortion. This is consistent with which diagnosis?
Analysis
There is significant areas of hyporeflectivity consistent with intraretinal fluid. In addition, there are discrete areas of hyperreflectivity in the outer retina that are consistent with pigmentary migration. Deep to the retina there is an area of hyperreflectivity constant with SHRM. On OCTA a well defined CNV was seen (video). In addition, Optos demonstrated clear pigmentary lines originating from the optic nerve.
The patient was diagnosed with angioid streaks.
In this tip's accompanying 8 min. video, we'll:
- Review causes of angioid streaks
- Review a differential diagnosis of CNV
- Learn how to recognize SHRM
OCT Tip
In any patient with SHRM, consider the possibility of angioid streaks (especially if druse is not present).
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