OCT Tip 248 was originally published on December 16th, 2022.
Why is there a poor retinal image here?
Analysis
There Is poor retinal quality and the vitreoretinal interface is not seen. When this occurs, consider corneal, lenticular or vitreous opacification. This patient was noted to have pre retinal heme, and an elevated lesions contiguous with a branch of her retinal artery (video).
An angiogram confirmed the presence of retinal arterial macroaneurysm (RAM).
In this tip's accompanying 9 min. video, we'll review:
- Pathologies associated with poor gain
- The differential diagnosis of retinal micro aneurysms
- The layers affected by an “hour-glass” hemorrhage
