SRF in a 56 year old. Why
Analysis
In this patient there is significant subretinal fluid, but the retinal architecture is normal. The RPE is associated with areas of focal thickening. On clinical examination the patient had a large pigmented lesion associated with both druse and orange pigment (see video).
The patient was diagnosed with subretinal fluid associated with small melanoma.
In this tip's accompanying 6 min. video, we'll learn:
- A ddx for subretinal fluid
- Lesions that can cause CNV
- Clinical findings that increase the risk of pigmented lesion being malignant vs benign.
OCT Tip
In a patient with subretinal fluid, always consider the possibility of a CNV associated with a nevus or a small melanoma.
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