An elderly woman presents with blurred vision. Why?

Tip #253


In this OCT there is evidence of numerous discrete areas of hyperreflectivity consistent with exudation. In addition, there are numerous areas of intraretinal cysts. On angiography, a hyperfluorescent lesion was noted (video).

The patient was diagnosed with macular edema secondary to a retinal artery macroaneurysm..

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

  • The two common presentations for RAM
  • The differential diagnosis of cystoid macular edema
  • How to identify RAM on angiography
Tip #253 Analysis


In a patient with CME, always perform an examination of the retinal vasculature (including the periphery) to rule out a vascular lesion.

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