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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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Glaucoma
Case 1
Patient Presentation: A 27-year-old male with a family history of open-angle glaucoma was referred to an ophthalmologist as a glaucoma suspect. His visual acuity was 20/20 OU. His manifest refraction was -5.00D OU. IOP was 10 OD and 11 OS (on 0/0 classes of glaucoma medications). Repeat OCT ONH/RNFL and Ganglion Cell analyses were completed and shown below:
Question: What main abnormality is seen on ONH/RNFL OCT?
Question: What is the diagnosis in this patient?
Question: What findings consistent with a split superior RNFL bundle are seen on this patient’s OCT images?
Question: RNFL split bundles are susceptible in which patient population?
Learning Objectives:
1. Interpreting RNFL and GCC OCT images in patients with red disease.
2. Identifying split-bundle RNFL defects on OCT.
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