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Advanced Image Interpretation part 2 case 3 page 4

Inferior macular cross section.

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Assess the following OCT images of the same patient and identify the changes demonstrated within?

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Inferior macular cross section

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Superior macular cross section

The inferior macular cross section shows a shallow hyper reflective structure in front of the RPE, with sub retinal fluid and intra retinal oedema temporally, this structure’s appearance is consistent with sub retinal fibrosis. The superior cross section shows an irregular hyper reflective structure within a region of sub retinal fluid. This structure is less reflective than the fibrosis and is coincident with the dark region seen on the reflected infrared fundus image. This is sub retinal haemorrhage.

 

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Describe the changes within the colour fundus image?

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