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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: Your attending physician shows you the following OCT macula. He asks you the following questions:
Question: What is the diagnosis?
Question: How do you differentiate a lamellar hole from a pseudohole and macular hole?
Question: What is the typical treatment for lamellar holes?
1. To differentiate lamellar hole from a pseudohole and a full thickness macular hole
2. To identify the OCT features of a lamellar hole, which have an anvil-like, partial thickness foveal defect with preservation of the outer retinal layers.
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