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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:

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Retina

Case 24

Patient Presentation: A 63-year-old female presents to the ophthalmology clinic for a routine appointment. When asked, she endorsed a 1 month history of metamorphopsias in the left eye, which do not really bother her. On examination, her vision is 20/20 OU. Slit lamp and fundus examination were normal. An OCT macula was performed demonstrating the following:

Retina 24-1.png

Question: What is the abnormality shown in the OCT above?

A. Vitreomacular Traction

B. Intra-retinal Cyst

C. Epi-retinal Membrane

D. All of the Above

Question: This pathological condition can be associated with:

A. Cystoid Macular Edema

B. Macular Schisis

C. Sub-retinal Fluid

D. Epiretinal Membrane

E. All of the Above

Retina 24-2.png

Question: What is the diagnosis highlighted by this OCT image?

A. Vitreomacular Traction

B. Vitreomacular Adhesion

D. None of the Above

Learning Objectives:

1. Identify the OCT features of VMT

2. Differentiate VMT from VMA based on OCT findings

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