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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