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Case 23

Patient Presentation: You are seeing this patient for his annual eye examination and you are reviewing his OCT macula scan (shown below):  

Question: What type of OCT protocol is shown on the left?

Retina 23-1.png

A line scanning ophthalmoscope (LSO) fundus photo accompanies the OCT macula print out. This is useful because you can correlate any pathology seen on the OCT macula with the fundus photograph. An example of this is shown below:

Retina 23-2.png

Question: What is the diagnosis highlighted by the red box?

Question: Based on the above OCT macula, the patient is likely an:

Learning Objectives:

1. Recognize the OCT features of peri-papillary atrophy


2. Understand the importance of wide-field OCT imaging to make the diagnosis of posterior staphyloma

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