Course: A Case of a Bumpy Retina
CME Credits: 1.00
Released: 2024-03-07
A 77-year-old male with history of hypertension and asthma presented with 3 months of progressive decline in vision in the left eye. He had no known ocular history. At presentation, best-corrected visual acuity was 20/100 OD and 20/50 OS. Intraocular pressures were normal bilaterally and pupils were equally reactive. Examination of the right eye was unremarkable except for moderate cataract. The left-eye slitlamp examination was remarkable for a shallow but quiet anterior chamber and moderate cataract. Dilated fundus examination of the left eye revealed shallow peripheral serous choroidal detachments, bullous inferior macula-involving retinal detachment with shifting fluid, and diffuse hyperpigmented lesions involving the macula and superior fundus that corresponded to areas of nodular retinal pigment epithelium thickening on optical coherence tomography (Figure 1). These hyperpigmented lesions were associated with hyperautofluorescence and blockage on fluorescein and indocyanine green angiography. No retinal breaks were seen on scleral depressed examination. Ultrasound biomicroscopy demonstrated 360° ciliochoroidal effusion. Axial length was 24.30 mm OD and 24.32 mm OS. The patient denied a history of known refractive error.
Educational Objective
Based on this clinical scenario and the accompanying image, understand how to arrive at a correct diagnosis.
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