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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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Retina

Case 1

Patient Presentation: A 67-year-old male presents to an emergency eye clinic with decreased unilateral vision loss from 20/50 to 20/100 OD since last visit. He had cataract surgery one month prior in this right eye. His most recent HbA1C was 5.4%. The patient's OCT is shown below.

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Question: What abnormalities do you visualize in the patient's OCT image?

A. Loss of Foveal Contour and Epi-retinal Membrane

B. Intra-retinal Cysts

C. Sub-retinal Fluid

D. All of the Above

What is the Diagnosis?

Click Here for Case Diagnosis

Retina Case 1-2

Question: Which of the following is the most reasonable first-line therapy for the patient's diagnosis?

A. Intravitreal Anti-VEGF

B. Intraocular Corticosteroids

C. Pars Plana Vitrectomy

D. Topical NSAID and Corticosteroids

Learning Objectives:

1) Identify OCT findings associated with CME.

2) Recognize the first line therapy for post-operative CME.

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