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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 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.
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
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