This patient had an elevated nerve. Why?
Analysis
In this patient there is inner retinal hyperreflectivity (this image is taken from a wider angle than the usual OCT).. Additionally, there is hyperreflectivity on the surface of the optic nerve. This lesion corresponded to an area of superficial whitening (see video).
The patient was diagnosed with regressed neovascularization secondary to proliferative retinopathy.
In this tip's accompanying 11 min. video, we'll learn:
- A ddx for inner retinal thickening
- Why laser was used for treating PDR
- How anti-VEGF compounds are used to treat PDR
OCT Tip
In a patient with inner retinal thickening and hyperreflectivity over the nerve, think of the possibility of neovascularization of the disc.
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