This 82-year-old woman presents with distortion. Why?

Tip #245

Analysis

Here there is significant hyperreflectivity located at the outer plexiform layer. In addition, there is significant intraretinal fluid and hyperreflectivity in the subretinal area. The RPE is detached from the underlying Bruch's membrane.

The patient was diagnosed with Wet AMD.

In this tip's accompanying 9 min. video, we'll review:

  • The different diagnoses for deep retinal hemorrhage
  • How to identify the location of hemorrhage on clinical examination
  • The causes of hyperreflectivity on OCT
Tip #245 Analysis

OCT Tip

In a patient with a dark grey lesion associated with red blood consider a hemorrhagic PED.

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