A 72-year-old patient denies visual symptoms. What is abnormal with this OCT?
Analysis
This is an OCT image of the optic nerve. It is a vertical cut. At the nerve, a vessel is seen in cross section. In the area immediately superior to the disc (middle of image) there is significant hyperreflectivity in the subretinal space. This corresponded to subretinal hemorrhage on fundoscopy (video). There is also significant subretinal fluid.
The patient was diagnosed with a peripapillary subretinal CNV.
In this tip's accompanying 12 min. video, Dr. Sharma takes you through additional diagnostic imagery as well as:
- The different types of hemorrhages associated with the optic disc
- The causes of peripapillary subretinal hemorrhage
- How PSRH is managed
OCT Tip
In a patient with peripapillary subretinal hemorrhage, assume a CNV from degenerative, inflammatory, or an anomalous optic disc cause.
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