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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 3
Patient Presentation: A 53-year-old female presented to ophthalmology clinic with a 3-week history of metamorphopsia OD. Left eye was asymptomatic. Vision was 20/30 in both eyes uncorrected.
Question: What abnormalities do you visualize in the patient's OD macula OCT image?
Question: What is your management approach based on the OCT image?
Question: What abnormalities do you visualize in the patient's contralateral eye (OS) on OCT?
Learning Objectives:
1) Recognize the typical presentation of a full thickness macular hole on OCT.
2) Be able to classify a presentation of macular hole into the appropriate stage based on OCT findings.
3) Be able to recognize vitreomacular traction.
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