Figure 4-9 OCT image of a 61-year-old female patient who reported progressive decreased vision and onset of waviness of straight lines in the right eye. OCT shows a subfoveal pigment epithelial detachment with associated subretinal fluid, intraretinal fluid, and intrarenal hyperreflective material. There is also an area of hyperreflective material on the underside of the RPE, likely representing a neovascular complex (see slices 13 and 14 in Activity 4-1). Scrolling through the macula in Activity 4-1 reveals the extent of the lesion, as well as RPE irregularities that resemble small pigment epithelial detachments (drusen).