OCT Scans and Vitreous Detachments

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

Fluorescein angiography

Which of the following can OCT scans assist in determining about a posterior vitreous detachment (PVD)?

Both presence and completeness of PVD

What causes vitreomacular traction (VMT)?

Vitreous syneresis

What can develop within the macula due to vitreomacular traction?

Intraretinal cysts

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

Both retinal distortion and cystoid macular edema

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

Ganglion Cell Layer

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

Inner Plexiform Layer

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

Outer Plexiform Layer

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

External Limiting Membrane

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

Outer Segments of the Photoreceptors

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

RNFL

What causes severe retinal thickening in VMT through the fovea?

Traction from the vitreous

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

Brightness on OCT

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

Locating the OCT scan

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

Section identified by the green line

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

Nerve Fiber Layer

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

Inner Nuclear Layer

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

RPE

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

Choriocapillaris

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

Inner / Outer Segment Junction

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

Inner nuclear layer

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

Brightness

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

Photoreceptor layer

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

Retinal pigment epithelium (RPE)

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

Macular edema

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

All of the above

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

Choroidal neovascularization

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

Associated thickening of the retina

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

Damage from sun gazing

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

Lipid or hard exudates

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

Outer nuclear layer

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

The lamellar macular hole is characterized by a discontinuity of the inner nuclear layer, while the full-thickness macular hole is not.

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

Vitreomacular traction

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

Inner nuclear layer

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

CME is associated with intraretinal cysts, while subretinal fluid accumulation is not.

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

Photoreceptor layer

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

Drusenoid pigment epithelial detachments (drusenoid PEDs)

What is the distinguishing feature of soft drusen?

Poorly defined or indiscrete margins

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

Drusenoid pigment epithelial detachments

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

Loss of RPE and photoreceptors

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

Underneath the RPE

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

Photoreceptor inner and outer segments

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

Partial loss of photoreceptors

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

Bruch's membrane

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

PED

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

Choroidal neovascularization

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

Loss of junction between inner and outer segments of photoreceptors

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

Disruption of the inner limiting membrane

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

Vitreomacular traction

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

Subretinal fibrosis

Which retinal pathology is NOT present in the patient?

Epiretinal membrane

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

Debris below the RPE

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

Location on the OCT image

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

Drusenoid PEDs

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

Drusenoid PEDs

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

Slice location

What retinal pathology is NOT present in the patient?

Choroidal neovascularization

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

Debris from ERM

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

Location of drusenoid PEDs

Test your knowledge of OCT scans and their ability to differentiate between venules and arterial capillaries. Learn about the visibility of the posterior face of the vitreous and its role in detecting posterior vitreous detachments. Take the quiz now!

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