OCT Tip 230 was originally published on February 11th, 2022.
A patient presents with blurring in both eyes. Why?
Analysis
Here, there is significant fluid in a number of locations, including the subretinal and intraretinal spaces (inner retinal and deep retinal.) In addition, there is significant loss of the ellipsoid zone. This patient was noted to have a pigmented lesion on the disc (video) and the OCT of the nerve showed significant recession of the nerve tissue with adherent vitreous. Similar findings were seen in the other eye.
The patient was treated for bilateral optic pit.
In this tip's accompanying 10 min. video, we'll review:
- The differential diagnosis of intraretinal fluid
- How an optic pit is noted on exam
- Treatment options for optic pit
OCT Tip
In any patient with serous retinal detachment, consider the possibility of optic pit.
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