OCT Tip 260 was originally published on May 5th, 2023.
A patient presented with blurring and a pigmented lesion. Why?
Analysis
Here there is significant retinal thickening in a focal area of the retina. This is associated with a shadow deeper in the retina. This area corresponded to a cotton-wool spot. The patient was noted to have numerous cotton-wool spots and hemorrhages in both eyes (video)
The patient was diagnosed with hypertensive retinopathy.
In this tip's accompanying 12 min. video, we'll review:
- The differences between hypertensive retinopathy and choroidopathy
- The signs of hypertensive retinopathy
- Pathologies that affect the inner retina and can cause swelling
OCT Tip
In a patient with focal inner retinal thickening hypertension needs to be ruled out.
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