Retina

Case 10

Patient Presentation: A 74-year-old female with no previous ocular pathology presented with acute vision loss OD. Vision was LP OD and 20/25 OS. There was a right RAPD. She denied any family history of ocular disease. Her medications included rosuvastatin, ramipril, metformin and sliding scale insulin. The patient's fundus photograph is shown below:

OCT macula OD was performed and shown below:

A. Retinal Edema

B. Venous Tortuosity

C. Cherry Red Spot

D. Patent Cilioretinal Artery

Question: What pathology is NOT present in the OD fundus photo shown?

Question: What section of the retina is abnormal on OCT?

What is the Diagnosis?

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Learning Objectives:

1. Recognize the classic OCT finding of a CRAO: Increased hyper-reflectivity and thickness of the inner retinal layers, corresponding to the inner retinal edema secondary to ischemia.

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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:

Retina

Case 10

OCT macula OD was performed and shown below:

Question: What pathology is NOT present in the OD fundus photo shown?

Question: What section of the retina is abnormal on OCT?

What is the Diagnosis?

Learning Objectives:

1. Recognize the classic OCT finding of a CRAO: Increased hyper-reflectivity and thickness of the inner retinal layers, corresponding to the inner retinal edema secondary to ischemia.

Retina

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Case 10

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OCT macula OD was performed and shown below:

Question: What pathology is NOT present in the OD fundus photo shown?

Question: What section of the retina is abnormal on OCT?

What is the Diagnosis?

Learning Objectives:

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1. Recognize the classic OCT finding of a CRAO: Increased hyper-reflectivity and thickness of the inner retinal layers, corresponding to the inner retinal edema secondary to ischemia.