top of page
Patient Presentation: A 23-year-old obese female was diagnosed with idiopathic intracranial hypertension (IIH) and referred to neurosurgery for ventriculoperitoneal shunt. A baseline ocular examination was performed prior to the procedure.
On examination, vision was 20/200 in the right eye, and 20/40 in the left eye. There was a right relative afferent pupillary defect. Slit lamp examination was normal.
A dilated fundus examination was performed demonstrating the following:
.png)
Retina
Case 11
Patient Presentation: A 27-year-old female presented to the ophthalmology clinic with a 1-week history of decreased vision in the left eye. She had a history of renal transplantation and was on immunosuppressive medications. Her most recent blood work demonstrated anemia and thrombocytopenia. She denied history of trauma. On examination, vision was 20/20 OD and 20/150 OS. Pupils were equal and reactive to light. Fundus photograph and OCT macula are shown below:
Question: The fundus photograph demonstrates a macular hemorrhage in the left eye. What layer of the retina is the hemorrhage situated in?
Question: The red arrow is pointing to an arrow of hypo-reflectivity underneath the hemorrhage. What does this represent?
Question: Of the following choices, which can cause sub-ILM hemorrhages?
Learning Objectives:
1. Recognize that OCT can provide valuable information regarding the location of retinal pathology.
2. Identify the inner limiting membrane on OCT.
bottom of page