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Influence of mydriasis on foveal duplication artifact

In this case report, we describe a rare imaging finding of foveal duplication identified on spectral domain optical coherence tomography (OCT) through undilated pupils in a 49-year-old asymptomatic anxious lady with type 2 diabetes mellitus who visited the retina clinic for diabetic retinopathy scre...

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Detalles Bibliográficos
Autores principales: Kakade, Sathya, Acharya, Isha, Venkatesh, Ramesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10265355/
https://www.ncbi.nlm.nih.gov/pubmed/37325166
http://dx.doi.org/10.1177/2050313X231180034
Descripción
Sumario:In this case report, we describe a rare imaging finding of foveal duplication identified on spectral domain optical coherence tomography (OCT) through undilated pupils in a 49-year-old asymptomatic anxious lady with type 2 diabetes mellitus who visited the retina clinic for diabetic retinopathy screening. A simple patient counseling for cooperation during a repeat OCT scan with dilated pupils revealed that the twin fovea-like duplication was an illusion. This case illustrates the necessity of pupillary dilation and reimaging in the presence of unusual artifacts, such as foveal duplication, to prevent clinicians from ordering unnecessary additional tests.