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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 36
Patient Presentation: A 58-year-old male presented to clinic with a 3-month history of painless loss of vision OS. Visual acuity on presentation was 20/20 OD and 20/70 OS; no RAPD. Fundus photo and OCT OS were performed and shown below.
Question: What abnormality is visualized in the patient's OCT image?
Question: What is the most likely diagnosis based on these OCT features?
Question: What is the most common site of ocular metastasis?
Question: What treatment is NOT commonly administered for choroidal metastases?
Learning Objectives:
1. To appreciate the risk of choroidal metastasis in patients with late stage non-small cell lung cancer
2. To recognize and diagnose choroidal metastasis on OCT and fundoscopy
3. To understand associated symptoms and treatment of choroidal metastasis
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