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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:
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Retina
Case 37
Patient Presentation: A 46-year-old asymptomatic male is referred for evaluation of a retinal pigmented lesion. BCVA was 20/20 OU, no RAPD was detected, and visual fields were preserved. Fundus photograph and OCT OS were performed and are shown below.
Question: What is the most likely diagnosis?
Question: What is the main abnormality seen on the OCT?
Question: What is the most reasonable management plan for the patient?
Learning Objectives:
1. To diagnose and recognize choroidal nevus on OCT
2. To appreciate predictive factors for choroidal nevus transformation into choroidal melanoma
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