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2015 ; 9
(ä): 36-40
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English Wikipedia
The causes of hyperreflective dots in optical coherence tomography excluding
diabetic macular edema and retinal venous occlusion§
#MMPMID25926902
Turgut B
; Yildirim H
Open Ophthalmol J
2015[]; 9
(ä): 36-40
PMID25926902
show ga
PURPOSE: To investigate the causes of hyperreflective dots (HRDs) in spectral
domain optical coherence tomography (OCT) excluding diabetic macular edema (DME)
and RVO (retinal vein occlusion). PATIENTS AND METHODS: The medical records of 56
patients with HRDs documented by OCT were reviewed retrospectively. The patients
with DME and RVO were excluded from the study in order to prevent misdiagnosing
hard exudates or HRDs. The causes, unilaterality or bilaterality of HRD and
demographic properties of the patients with HRD were evaluated. RESULTS: Sixty
four eyes of 56 patients having HRDs were included in this study. Of the patients
with HRD, 17 (30.36%) were women and 39 (69.64%) were men. The ages of patients
were between 13 to 84 years (median 60.18 years). The causes of HRD were as
follows: papilledema in 4 eyes (6.25%), active neovascular age related macular
degeneration (AMD) in 33 eyes (51.56%), familial dominant drusen in 2 eyes
(3.13%), central serous chorioretinopathy in 19 eyes (29.69%) and commotio retina
in 2 eyes (3.13%), choroidal folds in one eye (1.56%), branch retinal artery
occlusion in one eye (1.56%), central retinal artery occlusion in one patient
(1.56%) and Best vitelliform macular dystrophy in one eye (1.56%). The most
common cause of HRD was AMD. The causes of HRDs in both eyes were AMD and
papilledema. CONCLUSION: The most common causes of HRDs excluding DME and RVO
seem as active exudative AMD. The presence of HRDs in retinal diseases might
affect the decisions and the results of the treatment and the prognosis of
diseases.