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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:
Retina
Case 38
Patient Presentation: A 47-year-old asymptomatic male is referred for evaluation of a temporal macula lesion. The patient reports that his “vision in the right eye has always been slightly worse” for unknown reasons. BCVA is 20/25 OD, 20/20 OS, no RAPD is detected, and visual fields show a central scotoma. Fundus photography and OCT macula OD were performed and shown below.

