Contributor: Dr. Sultan Aldrees, MD
Patient Presentation: A 57-year-old male diagnosed with diabetes mellitus (DM) presented to clinic for a routine eye exam. His vision was 20/25 OD and 20/30 OS. His intraocular pressures were normal, and his slit lamp exam was unremarkable. Dilated fundus exam showed moderate non-proliferative diabetic retinopathy (NPDR).
Question: Given the clinical history, what does the hyper-fluorescent lesion in the OCT photo (left) likely represent?
Question: Which layer are hard exudates usually located in:
Question: What other additional features are present in the OCT photo:
Question: Can you list the criteria for defining clinically significant macular edema (CSME) as established by the Early Treatment for Diabetic Retinopathy Study (ETDRS) study?
Question: What is the differential diagnosis for lesions that can lead to hard exudate?
1. To understand some of the OCT findings in diabetic retinopathy
2. To recognize the OCT appearance of hard exudates