Dots, Spots, and Other White Retinal Lesions – Page 51 of 61
Case 14: Which OCT Matches the Fundus Image?
Dots, Spots, and Other White Retinal Lesions – Page 50 of 61
Case 14: Topcon Fundus Images OD A 43-year-old Asian male presented with BCVA of 3/400 OD and 20/80 OS. He complained of his day vision getting progressively worse over the last year OD>OS. The fundus images revealed an atrophic retina with the large underlying choroidal vessels easily visualized. Note the numerous yellowish crystals/dots throughout the
Dots, Spots, and Other White Retinal Lesions – Page 49 of 61
Case 13: Topcon 3D OCT Raster Scan Images SD-OCT revealed a central serous detachment of the retina inferior to the macula. Note the accumulation of fluid between the RPE and neurosensory retina. Note the hyperreflective dots bordering the detachment at the photoreceptor outer segment layer. They are referred to as edema residues which are tiny
Dots, Spots, and Other White Retinal Lesions – Page 48 of 61
Case 13: Which OCT Matches the Fundus Image?
Dots, Spots, and Other White Retinal Lesions – Page 47 of 61
Case 13: Topcon Fundus Images OD A 75-year-old white female presented with BCVA of 20/60 OD and 20/30 OS. The patient was being followed for age-related macular degeneration. It is difficult to appreciate with fundus photography, but the retina was elevated inferior to the macula.
Dots, Spots, and Other White Retinal Lesions – Page 46 of 61
Case 12: Topcon 3D OCT Radial and Raster Scan Images The top image shows the chorioretinal scar, which appears as a large hyperreflective mass that elevates all the overlying retinal layers. Bruch's membrane is also unmasked due to the elevated retinal layers. The lower images shows the cross section of the intraretinal hemorrhage. The hyperreflective
Dots, Spots, and Other White Retinal Lesions – Page 45 of 61
Case 12: Which OCT Matches the Fundus Image?
Dots, Spots, and Other White Retinal Lesions – Page 44 of 61
Case 12: Topcon Fundus Images OU A 6-year-old female presented with BCVA 20/200 OD and 20/100 OS. She was referred due to a failed school screening. Note the bilateral chorioretinal macular scars with surrounding hemorrhages.
Dots, Spots, and Other White Retinal Lesions – Page 42 of 61
Case 11: Topcon 3D OCT Raster Scan Images Note in the upper image the exudates present as hyperreflective dots in or near the outer plexiform layer. In the lower image, note the large diameter sheathed vessel and the surrounding exudates. The posterior hyloid is also shown overlying the retina in the lower image.