A 72-year-old presents with blurred vision. Why?

Tip #226


In this image, there is hypo reflectivity in the inner retina consistent with cystoid macular edema. In addition, there are spotty areas of hyperreflectivity. Further there is hyperreflectivity in the ganglion cell/inner plexiform layer. The OCTA showed some areas of hypo reflectivity (video) confirming the diagnosis.

The patient was treated for CME secondary to a retina vein occlusion.

In this tip's accompanying 8 min. video, we'll review:

  • How RVO differs from DME
  • The differential diagnosis of CME
  • How RVO is managed
Tip #226 Analysis


In a patient with elevation of the macular consider CME of any cause.

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