Central Bouquet Hemorrhage

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File number: 133240


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    • By Moazzam Parvez
      Netralayam ,Kolkata
      Co-author(s): Dr Krishnendu Nandi , Netralayam , Kolkata
    • Uploaded on May 31, 2025.
    • Last modified by Joshua Friedman on Jun 2, 2025.
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    Appears in
    Central bouquet haemorrhage
    Condition/keywords
    Central bouquet haemorrhage, myopia, macula
    Photographer
    Dr Moazzam Parvez , Netralayam , Kolkata
    Imaging device
    Optical coherence tomography system
    Heidelberg Spectralis
    Description
    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) .

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