Patient Presentation: A 38-year-old female was referred to an ophthalmologist after her optometrist detected an abnormality in one of her optic discs on fundoscopy. Her visual acuity on presentation is 20/20 OU with no RAPD. Humphrey’s visual fields were performed below.
An OCT Enhanced Depth Imaging 5-line raster of both optic nerves was performed and is shown below.
Question: What abnormality does the patient likely have?
The optic nerve photos on fundoscopy are shown above highlighting the optic disc edema and peri-papillary wrinkles (green arrows).
Question: The OCT of the RNFL and macular GCIPL are shown above. Which of the following is seen?
Question: The OCT macula 5-line raster is shown above. What abnormality is seen?
Question: Considering that the patient has normal visual function, mild left optic disc edema and irregular contour of the globe, what is the most likely diagnosis?
1. To recognize the manifestations of cavernous hemangioma on OCT
2. Identify neuroimaging features that suggest cavernous hemangioma