OCT Tip 243 was originally published on October 14th, 2022.

A 22-year-old developed new floaters. Why?

Tip #243

Analysis

Here there is significant hyperrefectivity in the anterior to the retina. There is a very hyperreflective band anterior to the hemorrhage, consistent with the ILM. The hemorrhage is causing significant shadowing of the retina.

This patient was diagnosed with a sub-ILM hemorrhage secondary to proliferative retinopathy.

In this tip's accompanying 11 min. video, we'll review:

  • The different locations of retinal hemorrhages
  • The treatment of preretinal hemorrhages
  • The differential diagnosis of preretinal hemorrhages
Tip #243 Analysis

OCT Tip

In a patient with a boat-shaped hemorrhage always ask about the possibility of systemic disease and rule out a history of trigger factors for valsalva retinopathy.

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