• Routine binocular indirect ophthalmoscopy (B10) or optos® imaging often detects peripheral retinal lesions.
  • But is the lesion flat or elevated?
  • If elevated, is it a solid lesion, a cyst, or a membrane?
  • If a membrane, is it a retinal detachment (RD), retinoschisis (RS) or choroidal detachment (CD)?
  • This week’s case is about an asymptomatic optometrist who became concerned when a routine optomap® revealed two large round lesions In the temporal periphery of his right eye.
  • Both OCT and B-scan prove to be helpful in determining if a lesion is solid or cystic and in the differential diagnosis between RD vs. RS vs. CD.