From our April 20th, 2016 newsletter.
EyeCarePD CEO Dr David Lederer has always been a strong proponent of a take on the classic teaching phrase “If you don’t know it, you can’t see it”. And that is one of the reasons we are interested in harmonizing OCT terminology from a disparate literature. Functionally, the words are an extension of our basic understanding. Just take one simple example below: Subretinal hyperreflective material can be defined as an OCT finding described as medium-to-high reflective material present above the RPE. This can represent neovascular tissue, blood, fibrin or scarring. Varying densities (amorphous or consolidated) can give a clue as to lesion activity. If you have never heard of subretinal hyperreflective material then it is rather hard to find it and understand it on an OCT. But now that you know…Tip:
Subretinal hyperreflective material is a very useful term for describing your OCTs. However, it is way too long to write. Varying abbreviations have entered the literature including “SRHM” and “SHM”. Dr Lederer has taken to using SHM as he likes the 3-letter abbreviation because it fits nicely with “SRF”. SRF stands for subretinal fluid and the combination of SHM and SRF are quite common in choroidal neovascular pathology. At EyeCarePD we believe that whatever you choose is fine as your notes are your notes. Just try to be consistent!A Clear Vision for Professional Development
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