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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 4
Patient Presentation: A 59-year-old male was seen for his standard follow-up appointment to assess a visual field defect. An OCT RNFL and ganglion cell-inner plexiform layer (GCIPL) was performed and shown below.
Question: Based on the OCT GCIPL, what visual field defect do you expect this patient to present with?
Question: Which of the following disease processes would best account for the visual field defects?
Question: Based on the patient’s history of occipital lobe strokes and OCT imaging, why would thinning in the inner retina occur?
Learning Objectives:
1. Retro-geniculate lesions (strokes, tumours, etc.) can cause retinal changes via retrograde trans-synaptic degeneration.
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