This person presented with blurring. Why?

Tip #198


There is significant intraretinal fluid. There are large cysts located in the inner nuclear and the outer plexiform/outer nuclear layer. In addition there is evidence of subretinal fluid. The ganglion cell layer is hyper reflective to the left of the image.

The patient was diagnosed with leukaemic retinopathy.

In this tip's accompanying 9 min. video, we'll review:

  • Review causes of hyperreflectivity in the retina
  • Review the pathogenesis of a Roth spot
  • Review how leukaemia can affect the retina
Tip #198 Analysis


In any patient with bilateral retinal hemorrhages, leukaemia is a possibility, especially if they do not have hypertension or diabetes.

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