A 28-year-old presents with new distortion. Why?
Analysis
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
OCT Tip
SHRM in a patient with CSCR represents a new CNV until proven otherwise.
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