An elevation of the inner retina is noted. What is it?

Tip #224


There is significant elevation of the inner retina. Intraretinal fluid is noted. In addition, there is a hyperreflective lesion (with a very hyperreflective rim). In the outer retina at the level of the outer plexiform layer a hyper reflective area - consistent with exudate - is noted. This lesion was noted to be hyper fluorescent on angiography (video).

The patient was treated for both a retinal arterial macroaneurysm as well as a choroidal nevus.

In this tip's accompanying 11 min. video, we'll review:

  • The differential diagnosis of inner retinal elevation
  • How to recognize retinal artery macro aneurysm on angiography
  • Risk factors for RAM
Tip #224 Analysis


Inner retinal elevation with or without exudation is consistent with retinal artery macro aneurysm.

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