top of page
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 78-year-old male presented to clinic with a one month history of a persistent central scotoma in his left eye after uneventful cataract surgery. Vision was 20/30 OD and 20/25 OS. Pupils were equal and reactive, with no relative afferent pupillary defect. His medications included Clopidegrol, Xalerto, Bisoprolol, and Rosuvastatin. The fundus photograph of the left eye is shown below:
Question: OS OCT Macula is shown on the left. What layer is abnormal?
Question: What is the diagnosis?
Question: What ocular condition can be associated with the development of this OCT finding?
1. Recognize PAMM on OCT, which is characterized by a hyper-reflective band that affects the inner nuclear layer.
bottom of page