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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Have an interesting OCT case?

Consider submitting your OCT case to our website as a practice case. Cases will be selected based on quality of write-up and educational value for our readers. Please obtain patient consent for all case submissions.

All cases should be de-identified and have the following format:

1. Description of case (patient demographics, HPI, ocular examination)

2. High quality OCT photograph +/- relevant ocular imaging

3. Description of OCT

4. Three or more multiple choice questions

5. Learning objectives

Please email all completed cases to jkwok@qmed.ca

Sample submission below:

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