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:

OCTcases (logo1).png

Retina

Case 39

Patient Presentation: A 32-year-old male presents to the ophthalmology clinic for a routine follow-up assessment. His vision is 20/20 OD and 20/20 OS. His fundus examination was normal. The patient’s OCT macula is shown below.

Retina 39-1.png

Question: Please describe this OCT above

Click Here for Answer

Retina 39-2.png

Question: The yellow arrows are pointing at which of the following structure?

A. Intra-retinal fluid

B. Blood vessels

D. Hard exudates

Question: Which layer of the retina are the structures pointed by the yellow arrow located within?

A. Nerve fiber layer

B. Inner nuclear layer

C. Inner plexiform layer

D. Ganglion cell layer

Learning Objectives:

1. Recognize the layers of the retina that blood vessels are likely to reside on OCT