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