During fundus fluorescein angiography, a patient with diabetic retinopathy shows multiple well-defined hyperfluorescent dots that increase in intensity and size progressively through all phases without any corresponding leakage into the vitreous. This finding is best described as:

• A Retinal neovascularization
• B Arteriovenous shunts
• C Telangiectasia
• D Microaneurysms ✓

Explanation

Microaneurysms appear as small, discrete hyperfluorescent dots on FFA that show early filling and late staining or mild leakage. Retinal neovascularization (option A) shows early hyperfluorescence with progressive intense leakage. The 'well-defined dots' description is classic for microaneurysms in diabetic retinopathy, distinguishing them from the irregular, leaking new vessels.

Reference: Ryan's Retina, 6th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.