A 69-year-old presents with distortion. This image is consistent with which diagnosis?
Analysis
There is a significant thickening of the inner retina. At the center of the elevation is a thin-walled lesion. This area correlated with a vascular lesion on angiography. There was also significant shadowing of the deeper layers of the retina on OCT
The patient was diagnosed with a retinal artery macroaneurysm (RAM).
In this tip's accompanying 5 min. video, we will review:
- Causes of hyperreflectivity in the deeper retina
- How an retinal artery macroaneurysm appears on angiography
- The classic presentation of RAM
OCT Tip
In any patient who presents with an inner retinal elevation, always consider RAM. Also consider RAM in a circinate pattern of exudation.
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