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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 65
Contributor: Shaan Bhambra (McGill University Medical Student)
Patient Presentation: A 41-year-old male presented to a tertiary retina clinic complaining of “wavy” vision OD for 1 month. His past medical history was significant for hyperlipidemia and diet-controlled T2DM. His only medication was rosuvastatin. He notes new stress at home and work over the last 3 months.
Slit lamp examination was within normal limits. Fundus photos were taken and can be seen below:
OCTs of the macula were taken and are shown below:
Question: Based on the OCTs above, what is the most likely diagnosis?
Question: Which type of OCT allows for the best visualisation of the choroid?
Question: Which is the most effective treatment for this diagnosis at this time?
Learning Objectives:
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OCT identification and treatment of acute CSR
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Treatment and management of acute CSR
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Risk factors and pathophysiology of CSR
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