75-year-old man with large central drusen noted clinically.
Chronic center-involving DME and a history of anti-VEGF and intravitreal triamcinolone injections
Diabetic Macular Edema. 75-year-old man with chronic center-involving diabetic macular edema (DME) and a history of anti-VEGF and intravitreal triamcinolone injections. The patient developed a prominent posterior subcapsular cataract (PSCC) that limited the view to the macula. Despite the low-quality OCT signal, the DME is clearly present along with a component of subretinal fluid. Cataract… Read More
Serous Pigment Epithelial Detachment
Serous Pigment Epithelial Detachment. 85-year-old female with a large pigment epithelial detachment. Fluorescein angiography did not reveal a choroidal neovascular membrane, and the patient was followed without treatment. After 1 year of follow-up the patient has remained stable without progression.
Wet Age-Related Macular Degeneration with choroidal neovascularization
Wet Age-Related Macular Degeneration. 65-year-old man with choroidal neovascularization as evidenced by subretinal hyperreflective material and subretinal fluid. The back portion of the vitreous (hyaloid) can be seen partially detached. This is a normal finding and should not be confused with vitreomacular traction. Only one treatable pathology is present: wAMD.
Cystoid Fluid Is it macular degeneration or a venous occlusion?
Cystoid Fluid. Both patients have cystoid fluid in the macula. Both patients are receiving anti-VEGF injections every 2 months. The OCT can be used to distinguish these pathologies as the patient with wAMD has deep drusen that are absent in the patient with a CRVO. Assessing all the factors on an OCT can be helpful… Read More
EyeCarePD.com launches wAMD course
We are proud to announce the launch of our online wet age-related macular degeneration course. This elearning course is designed with image-rich content and relevant case examples that can help eye care professionals understand disease pathophysiology, review critical clinical trials, interpret imagery, make diagnoses and formulate effective treatment plans. This course is an Accredited Self-Assessment… Read More
Nonproliferative Diabetic Retinopathy without Diabetic Macular Edema
Nonproliferative Diabetic Retinopathy without Diabetic Macular Edema. 63-year-old man with mild NPDR. The OCT demonstrates hard exudates, but there is no evidence of macular edema. While hard exudates are a common finding in cases of macular edema, they can occur in isolation and do not warrant treatment.
Dry Age-Related Macular Degeneration
Dry Age-Related Macular Degeneration. 80-year-old woman with central geographic atrophy. The choroidal atrophy and variable drusen morphology are typical of AMD.
Lamellar Macular Hole
Lamellar Macular Hole. 55-year-old woman with an epiretinal membrane that has resulted in a lamellar hole configuration. The schisis is secondary to the membrane.
High Myopia plus Lamellar Macular Hole
High Myopia plus Lamellar Macular Hole. 45-year-old woman with high myopia (-15 diopters). In such cases, macular schisis can be detected with or without an overlying epiretinal membrane.