A 54-year-old diabetic presents with new floaters. Why?
This is a vertical image of the patient’s right eye. There is separation of the internal limiting membrane (ILM) from the nerve fiber layer. Between these two layers, there is a significant amount of speckled hyper reflectivity. There is also some intraretinal fluid in the superficial layers of the retina.
This patient was diagnosed with a sub ILM hemorrhage secondary to proliferative retinopathy.
In this tip's accompanying 10 min. video, we'll review:
- Layers of the retina in which hemorrhage can be located
- Causes of floaters
- Common conditions that can present with proliferative retinopathy
In a patient with hyper reflectivity anterior to the retina, think of hemorrhage in the vitreous, preretinal (subhyaloid) or sub ILM space.
Not receiving our tips yet? Subscribe to receive them straight to your inbox.