Neuro-Ophthalmology

Case 7

Patient Presentation: A 43-year-old female was referred for an eye assessment. She has not had any visual complaints, but had not previously had an eye exam. Visual acuity was 20/20 in both eyes, colour vision was normal (14/14 Ishihara colour plates) and dilated fundus examination was normal. An OCT RNFL and GCC analysis were performed and shown below.

Neuro-Ophthalmology 7-1.png

Question: Please describe this OCT

Question: What visual field defect do you expect to see in this patient?

Question: What is the next best step in the management of this patient?

Learning Objectives:

1. OCT can detect involvement of the visual pathways before visual field becomes abnormal in chronic compressive cases, such as Rathke’s Cleft Cyst