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Central Bouquet Hemorrhage
May 31 2025 by Moazzam Parvez
OCT image of a 26 year old gentleman of right eye macula with a central foveolar cotton ball like lesion . Inward traction by Müller cells over CB causes upward displacement of foveal cones without major disturbance of ellipsoid zone (EZ) and ELM . Cotton ball sign is characterized by small, fuzzy subfoveal hyperreflective area between the inner segment ellipsoid zone (EZ) and the interdigitation zone (IZ) .
Photographer: Dr Moazzam Parvez , Netralayam , Kolkata
Imaging device: Heidelberg Spectralis
Condition/keywords: Central bouquet haemorrhage, macula, myopia