#SubretinalFluid

Ricardo Leitão Guerraretinography
2025-01-21

Polypoidal Choroidal Vasculopathy

Polypoidal Choroidal Vasculopathy (PCV) should be investigated when subretinal fluid (SRF) is observed adjacent to the optic disc. En-face OCT imaging at the level of the ellipsoid zone (EZ) is a valuable tool for detecting SRF in these cases, providing a detailed view of fluid distribution and its impact on the retinal structure. This technique enhances diagnostic accuracy and helps guide treatment.

retinography.org/polypoidal-ch

Ricardo Leitão Guerraretinography
2025-01-19

Central Serous Chorioretinopathy

In acute Central Serous Chorioretinopathy (CSC), Optical Coherence Tomography (OCT) reveals subretinal fluid as a hyporeflective space between the neurosensory retina and the retinal pigment epithelium (RPE). The absence of significant intraretinal fluid differentiates CSC from other causes of macular edema. OCT is essential for diagnosing, monitoring resolution, and assessing treatment response.

retinography.org/central-serou

Ricardo Leitão Guerraretinography
2025-01-16

Polypoidal choroidal vasculopathy

Polypoidal Choroidal Vasculopathy (PCV) should be investigated when subretinal fluid is observed adjacent to the optic disc. Fundus autofluorescence (FAF) is useful in these cases, as it highlights retinal pigment epithelium (RPE) changes. Areas of hyperautofluorescence indicate RPE stress, while hypoautofluorescence suggests atrophy, aiding in the identification of PCV-related abnormalities.

retinography.org/polypoidal-ch

Ricardo Leitão Guerraretinography
2024-09-06

Diabetic Macular Edema

Diabetic macular edema (DME) with longstanding subretinal fluid (SRF) can lead to hyperautofluorescence on fundus autofluorescence (FAF) imaging. This hyperautofluorescence indicates chronic damage and accumulation of lipofuscin in the retinal pigment epithelium (RPE). It is a potential biomarker of worse prognosis, as it suggests persistent retinal stress and damage.

retinography.org/diabetic-macu

Ricardo Leitão Guerraretinography
2024-08-16

Central Serous Chorioretinopathy

Central Serous Chorioretinopathy (CSC) involves the accumulation of subretinal fluid. En-face imaging of the ellipsoid zone (EZ) helps visualize the extent and distribution of this fluid. En-face minimum intensity projection further aids in identifying fluid pockets and assessing the overall impact on the retinal structure.

retinography.org/central-serou

Ricardo Leitão Guerraretinography
2024-07-25

Aneurysmal type 1 MNV

A 76-year-old male presented with subretinal fluid involving the macula. Careful analysis of OCT and OCTA revealed the condition to be aneurysmal type 1 MNV (polypoidal choroidal vasculopathy). Following a loading dose of anti-VEGF treatment, there was resolution of the fluid and significant improvement of the fibrovascular PED.

retinography.org/aneurysmal-ty

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