OCT Scans and Vitreous Detachments
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Questions and Answers

Which imaging technique is used to differentiate between venules and arterial capillaries?

  • Ultrasound
  • OCT scan
  • MRI scan
  • Fluorescein angiography (correct)
  • Which of the following can OCT scans assist in determining about a posterior vitreous detachment (PVD)?

  • Presence of PVD
  • Completeness of PVD
  • Both presence and completeness of PVD (correct)
  • None of the above
  • What causes vitreomacular traction (VMT)?

  • PVD
  • Vitreous syneresis (correct)
  • Retinal thickening
  • Cystoid macular edema
  • What can develop within the macula due to vitreomacular traction?

    <p>Intraretinal cysts</p> Signup and view all the answers

    What is the result of traction from the posterior face of the vitreous in VMT?

    <p>Both retinal distortion and cystoid macular edema</p> Signup and view all the answers

    Which layer of the retina is highlighted in green in the image?

    <p>Ganglion Cell Layer</p> Signup and view all the answers

    Which layer of the retina is highlighted in red in the image?

    <p>Inner Plexiform Layer</p> Signup and view all the answers

    Which layer of the retina is composed of two distinct major bands?

    <p>Outer Plexiform Layer</p> Signup and view all the answers

    Which layer of the retina forms part of the RPE cells' basement membrane?

    <p>External Limiting Membrane</p> Signup and view all the answers

    Which layer of the retina is thicker within the fovea due to a greater number of photoreceptor nuclei?

    <p>Outer Segments of the Photoreceptors</p> Signup and view all the answers

    Which retinal structure remains between the lamellar macular hole and the RPE?

    <p>RNFL</p> Signup and view all the answers

    What causes severe retinal thickening in VMT through the fovea?

    <p>Traction from the vitreous</p> Signup and view all the answers

    What is the distinguishing feature between the epiretinal membrane (ERM) and the RNFL?

    <p>Brightness on OCT</p> Signup and view all the answers

    What is the green line in the fundus photograph used for?

    <p>Locating the OCT scan</p> Signup and view all the answers

    Where does the ERM likely extend beyond in the superior macula?

    <p>Section identified by the green line</p> Signup and view all the answers

    Which layer of the retina is labeled as a 'highly reflective white band' in the OCT image?

    <p>Nerve Fiber Layer</p> Signup and view all the answers

    What is the name of the layer that is labeled as a 'thin dark gray band' in the OCT image?

    <p>Inner Nuclear Layer</p> Signup and view all the answers

    Which layer of the retina is labeled as a 'broad white band' in the OCT image?

    <p>RPE</p> Signup and view all the answers

    What is the name of the layer that is labeled as a 'dark irregular region' in the OCT image?

    <p>Choriocapillaris</p> Signup and view all the answers

    Which layer of the retina is labeled as a 'bright white band' in the OCT image?

    <p>Inner / Outer Segment Junction</p> Signup and view all the answers

    Which layer of the retina is labeled as a 'thin dark gray band' in the OCT image?

    <p>Inner nuclear layer</p> Signup and view all the answers

    What is the distinguishing feature between the epiretinal membrane (ERM) and the retinal nerve fiber layer (RNFL)?

    <p>Brightness</p> Signup and view all the answers

    Which retinal structure remains between the lamellar macular hole and the retinal pigment epithelium (RPE)?

    <p>Photoreceptor layer</p> Signup and view all the answers

    Where does the epiretinal membrane (ERM) likely extend beyond in the superior macula?

    <p>Retinal pigment epithelium (RPE)</p> Signup and view all the answers

    What causes severe retinal thickening in vitreomacular traction (VMT) through the fovea?

    <p>Macular edema</p> Signup and view all the answers

    Which layers of the retina are primarily affected by the intraretinal cysts in wet macular degeneration?

    <p>All of the above</p> Signup and view all the answers

    What is the cause of the subretinal fluid seen in wet macular degeneration?

    <p>Choroidal neovascularization</p> Signup and view all the answers

    What is the distinguishing feature between intraretinal cysts and outer retinal holes on OCT images?

    <p>Associated thickening of the retina</p> Signup and view all the answers

    What is the cause of outer retinal holes in the patient with solar retinopathy?

    <p>Damage from sun gazing</p> Signup and view all the answers

    What do white intraretinal dots and larger aggregates represent in diabetic retinopathy?

    <p>Lipid or hard exudates</p> Signup and view all the answers

    Which layer of the retina is labeled as a 'shaded green' in the OCT image?

    <p>Outer nuclear layer</p> Signup and view all the answers

    What is the distinguishing feature between a lamellar macular hole and a full-thickness macular hole?

    <p>The lamellar macular hole is characterized by a discontinuity of the inner nuclear layer, while the full-thickness macular hole is not.</p> Signup and view all the answers

    What is the pathogenic mechanism believed to be involved in the development of macular holes?

    <p>Vitreomacular traction</p> Signup and view all the answers

    What is the name of the layer that is labeled as a 'shaded orange' in the OCT image?

    <p>Inner nuclear layer</p> Signup and view all the answers

    What is the distinguishing feature between cystoid macular edema (CME) and subretinal fluid accumulation?

    <p>CME is associated with intraretinal cysts, while subretinal fluid accumulation is not.</p> Signup and view all the answers

    Which layer of the retina is located above the retinal pigment epithelium (RPE)?

    <p>Photoreceptor layer</p> Signup and view all the answers

    What is the term used to describe drusen that are located below the RPE?

    <p>Drusenoid pigment epithelial detachments (drusenoid PEDs)</p> Signup and view all the answers

    What is the distinguishing feature of soft drusen?

    <p>Poorly defined or indiscrete margins</p> Signup and view all the answers

    Which term is used to describe larger soft drusen where the RPE is visibly detached?

    <p>Drusenoid pigment epithelial detachments</p> Signup and view all the answers

    What is the distinguishing feature between dry macular degeneration and wet macular degeneration?

    <p>Loss of RPE and photoreceptors</p> Signup and view all the answers

    In wet AMD, where is the choroidal neovascularization located in relation to the RPE?

    <p>Underneath the RPE</p> Signup and view all the answers

    Which layer of the retina is commonly affected in dry age-related macular degeneration (AMD)?

    <p>Photoreceptor inner and outer segments</p> Signup and view all the answers

    Which term describes the areas of discontinuity in the shaded red line in the OCT image of dry macular degeneration?

    <p>Partial loss of photoreceptors</p> Signup and view all the answers

    Which layer of the retina is the basement membrane of the retinal pigment epithelium (RPE) a part of?

    <p>Bruch's membrane</p> Signup and view all the answers

    Which structures are shaded purple in the upper OCT image of the patient?

    <p>PED</p> Signup and view all the answers

    What is the cause of the subretinal fluid seen in wet macular degeneration?

    <p>Choroidal neovascularization</p> Signup and view all the answers

    What is the distinguishing feature between a lamellar macular hole and a full-thickness macular hole?

    <p>Loss of junction between inner and outer segments of photoreceptors</p> Signup and view all the answers

    What is the distinguishing feature between the epiretinal membrane (ERM) and the retinal nerve fiber layer (RNFL)?

    <p>Disruption of the inner limiting membrane</p> Signup and view all the answers

    What is the pathogenic mechanism believed to be involved in the development of macular holes?

    <p>Vitreomacular traction</p> Signup and view all the answers

    What is the name of the layer that is labeled as a 'dark irregular region' in the OCT image?

    <p>Subretinal fibrosis</p> Signup and view all the answers

    Which retinal pathology is NOT present in the patient?

    <p>Epiretinal membrane</p> Signup and view all the answers

    What is the cause of the subretinal fluid seen in the patient?

    <p>Debris below the RPE</p> Signup and view all the answers

    What is the distinguishing feature between the drusenoid PEDs and the drusen?

    <p>Location on the OCT image</p> Signup and view all the answers

    What retinal pathology is visible on both the fundus image and the OCT image?

    <p>Drusenoid PEDs</p> Signup and view all the answers

    What is the cause of the visibly thinned photoreceptor outer nuclear layer?

    <p>Drusenoid PEDs</p> Signup and view all the answers

    What is the distinguishing feature between the OCT images of the macular hole?

    <p>Slice location</p> Signup and view all the answers

    What retinal pathology is NOT present in the patient?

    <p>Choroidal neovascularization</p> Signup and view all the answers

    What is the cause of the visible debris below the level of the RPE?

    <p>Debris from ERM</p> Signup and view all the answers

    What is the distinguishing feature between the OCT images of the patient?

    <p>Location of drusenoid PEDs</p> Signup and view all the answers

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