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Case 28

Patient Presentation: A 28 year old male presented to ophthalmology clinic with decreased vision in his left eye x 1 day. On examination, visual acuity was 20/20 OD and 20/200 OS. There was a positive left RAPD. IOP was 26 OD and 47 OS. Slit lamp examination demonstrated microcystic corneal edema in the left eye with closed angles and a mild anterior chamber reaction.  A dilated fundus examination of the left eye was performed demonstrating the following:

Retina 28-1.png

Question: Please describe the fundus photograph

Retina 28-3.png
Retina 28-4.png

Question: An OCT macula was performed in the left eye along the area of retinal whitening (shown above). Please describe the OCT macula

Question: What OCT scan protocol is best at measuring retinal thickness?

Learning Objectives:

1. Identify the OCT features of an acute retinal artery occlusion

2. Recognize the role of 3D macular cube in measuring retinal thickness

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