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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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Neuro-Ophthalmology
Case 14
Patient Presentation: A 77-year-old male presented to the emergency room with new headaches for 2 months, followed by jaw claudication, transient diplopia and loss of vision OD. His visual loss and symptoms became more severe the next day. His vision was CF@ 3ft OD and 20/30 OS, with a right RAPD. CRP was 30 (normal < 11) and ESR was 54. He was admitted for suspected GCA. The patient was treated with IV methylprednisolone 1g daily x 3 days followed by Prednisone 60mg PO daily.
One week following initial presentation, the patient was seen for follow-up and consideration of a temporal artery biopsy. Dilated fundus photos and OD OCT macula are shown below.
Question: What is the diagnosis based on the patient fundus findings and OD OCT macula?
Question: What is a clinically proven treatment for CRAO?
Question: What pathology is this horizontal 5-line raster overlaying?
Question: How can one differentiate a cotton wool spot on OCT to a hard exudate?
Learning Objectives:
1. To evaluate the stage of CRAO based on macula OCT imaging
2. To examine a cotton-wool spot on OCT
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