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 3
Patient Presentation: An 89-year-old woman presents for a routine evaluation of her eyes to screen for glaucoma. Her IOP is 15mmHg in both eyes on no glaucoma medication and she has an absence of any visual symptoms. She has no family history of glaucoma. Her past ocular history is unremarkable other than bilateral cataract extraction.
She receives an OCT ONH and RNFL of both her eyes. The results are shown below and compared with an OCT ONH and RNFL from 6 months prior.
Describe any pertinent findings from this first image.
The clinician then pulls up an OCT ONH and RNFL from 6 months prior, which showed the following:
