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 2

Patient Presentation: A 77-year-old female with a history of retinal detachment presents with decreased visual acuity and metamorphopsia in her right eye. Visual acuity is 20/30 in the affected eye and she is not overly bothered by the metamorphopsia. The patient's OCT is shown below.

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

Click to Reveal Answer

What is the Diagnosis?

Click Here for Case Diagnosis

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Question: Given the patient's history and OCT image, which management strategy is the best course of action?

A. Intravitreal Injection of Anti-Fibrotic Agent

B. Monitor Conservatively

C. Vitrectomy Surgery in the Affected Eye Only

D. Vitrectomy Surgery in Both Eyes

Learning Objectives:

1) Identify OCT findings associated with epiretinal membrane.

2) Identify macular pseudohole as a common association with epiretinal membrane on OCT.