A 28-year-old presents with new distortion. Why?

Tip #171


In this image, there is clear evidence of subretinal fluid as there is a hyperreflective area located beneath the ellipsoid area. To the left of the image there is also the presence of a hyperreflective area consistent with SHRM (subretinal hyper reflective material). This area corresponded to rapid expansion on angiography (video).

The patient was diagnosed with a CNV (choroidal neovascularization) secondary to CSCR (central serous chorioretinopathy).

In this tip's accompanying 23 min. video, Dr. Sharma takes you through additional diagnostic imagery as well as:

  • Review the cause of CNV
  • Review causes of SRF (subretinal fluid)
  • Review the pathogenesis of CSCR
Tip #171 Analysis


SHRM in a patient with CSCR represents a new CNV until proven otherwise.

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