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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 28
Patient Presentation: A 28 year old male presented to ophthalmology clinic with decreased vision in his left eye x 1 day. On examination, visual acuity was 20/20 OD and 20/200 OS. There was a positive left RAPD. IOP was 26 OD and 47 OS. Slit lamp examination demonstrated microcystic corneal edema in the left eye with closed angles and a mild anterior chamber reaction. A dilated fundus examination of the left eye was performed demonstrating the following:
Question: Please describe the fundus photograph
Question: An OCT macula was performed in the left eye along the area of retinal whitening (shown above). Please describe the OCT macula
Question: What OCT scan protocol is best at measuring retinal thickness?
Learning Objectives:
1. Identify the OCT features of an acute retinal artery occlusion
2. Recognize the role of 3D macular cube in measuring retinal thickness
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