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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 53
Patient Presentation: An 82-year-old female with a past medical history of coronary artery disease, hypertension, osteoporosis and rheumatoid arthritis presents with decreased vision and metamorphopsia in her right eye. Visual acuity is 20/50 OD and 20/30 OS. IOP is stable OU. Unremarkable anterior segment examination. The patient’s OCT macula OD is shown below.
Question: Which of the following is visualized on the patient’s OCT macula OD?
Question: What is the threshold diameter size used to classify VMT into focal or broad?
Question: The patient returns 4 months later, and a repeat OCT macula OD is performed which is shown above. Which of the following do you see on the OCT macula OD above?
Question: Which of the following should you consider if the patient’s VMT is not released spontaneously?
Learning Objectives:
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To recognize the association of epiretinal membranes and vitreomacular traction syndrome.
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To recognize the role of OCT in diagnosis and monitoring of vitreoretinal traction syndrome.
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