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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 5
Patient Presentation: A 11-year-old aphakic male with a history of microspherophakia s/p cataract surgery presents to an emergency room with decreased vision in the left eye x 3 months. BCVA was 20/40 OD and 20/100 OS. His pupils remained meiotic despite multiple attempts to dilate his pupils pharmacologically. The view to the fundus was poor. An OCT macula was performed demonstrating the following:
Question: What abnormalities do you visualize in the patient's OCT image?
What is the Diagnosis?
An OCT was also performed on the contralateral right eye demonstrating the following:
Question: What is the diagnosis?
Question: What layer of the retina is the yellow arrow pointing to?
Learning Objectives:
1) Diagnose a retinal detachment on OCT and identify the difference between a macula on and off retinal detachment.
2) Recognize that OCT can be useful in cases where there is a sub-optimal view of the macula.
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