Pseudocysts can be seen on SD-OCT as a hyporeflective circular shaped lesion. This retinal finding is seen in retinal degenerative conditions and is common in atrophic age-related macular degeneration. Pseudocysts can be mistaken as intraretinal edema secondary to leakage from a choroidal neovascular membrane (CNVM). However, pseudocysts do not leak on fluorescein angiography. They are believed to correspond to Muller cell degeneration, as suspected in idiopathic juxtafoveolar retinal telangiectasis type 2A.
Figure 1: Pseudocysts in a patient with nonexduative age-related macular degeneration. The hyporeflective space does not indicate a CNVM but a degenerative process.
Figure 2: Pseudocyst in a patient with nonexduative age-related macular degeneration. The hyporeflective space does not indicate a CNVM but a degenerative process.
Figure 3: Pseudocysts in a patient with nonexduative age-related macular degeneration. The hyporeflective space does not indicate a CNVM but a degenerative process.
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