An elderly woman presents with blurred vision. Why?
Analysis
In this OCT there is evidence of numerous discrete areas of hyperreflectivity consistent with exudation. In addition, there are numerous areas of intraretinal cysts. On angiography, a hyperfluorescent lesion was noted (video).
The patient was diagnosed with macular edema secondary to a retinal artery macroaneurysm..
In this tip's accompanying 8 min. video, we'll review:
- The two common presentations for RAM
- The differential diagnosis of cystoid macular edema
- How to identify RAM on angiography
OCT Tip
In a patient with CME, always perform an examination of the retinal vasculature (including the periphery) to rule out a vascular lesion.
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