Macular OCT at a routine review of age-related change
Clinical history
- Age
- Typically over 60
- Duration
- Months to years
- Urgency
- Routine
An older adult reports slowly progressive difficulty reading small print, needing brighter light than before. The change has developed over months to years, with no sudden drop and no distortion of straight lines. Peripheral vision is preserved.
- Examination
- Mildly reduced acuity. Pale yellow deposits at the macula on fundus examination, without haemorrhage or exudate.
Presentation typical of this diagnosis, written for teaching. The source dataset provides the image and its label only, with no accompanying clinical record.
The study opens when you begin.
Read the history first and decide what you expect to find. Committing to an expectation before you look is most of what separates interpreting from noticing.
Step 1 of 3 · Read the history
Study: Macular OCT
Describe the abnormality and give the most likely diagnosis. You will locate the finding first; the answer options stay hidden until you have.