Case 32

Patient Presentation: A 68-year-old female with age-related macular degeneration is referred with gradual decreased vision. She was previously receiving anti-VEGF injections. The patient has no notable past medical or ocular history; Her vision is 20/25 OD and 20/400 OS. Her OS OCT macula is shown below

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Question: What abnormality is NOT visualized in the patient’s OCT image?

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Question: What structures are the yellow arrows pointing to?

Question: What disease is commonly associated with outer retinal tubulations?

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Question: What is the treatment of choice for outer retinal tubulations?

Learning Objectives:

1. To diagnose and recognize outer retinal tubulations by their location in the outer nuclear layer, hyper-reflective demarcation, and association with chronic outer retinal degenerative conditions.