Retinal Elevation

Sanjay Sharma MD, MSc (Epid), MBA

Professor of Ophthalmology, Queen’s University

An 87-year-old presents with new distortion. Why?

oct tip 299

Analysis

In this image, there is a deep elevation of the retina. Clear subretinal fluid is present. In addition, there is hyper-reflective material in the subretinal space. There is also elevation of the RPE. A lacy area of vascularization was noted on OCT in the outer retina and choriocapillaris.

The patient was diagnosed with a choroidal neovascular membrane (CNV) secondary to wet AMD.

oct tip 299 analysis

Video Analysis

In this tip’s accompanying 6 min. video, we will review:

  • The various causes of deep hyper-reflectivity on OCT
  • The causes of CNV
  • The difference between type 1 and type 2 CNV

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Clinical Tip

Subretinal hyper-reflective material on OCT is subretinal hemorrhage until proven otherwise: suspect a CNV.