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 4

Patient Presentation: An 84-year-old male with a history of bilateral cataract surgery presenting with metamorphopsia and central scotoma OD. His vision is 20/100 OD and 20/40 OS. Fundus examination demonstrates drusen in the macula of both eyes.

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Question: What abnormalities are NOT seen in the patient's OCT image?

A. Intra-retinal cysts

B. Sub-retinal hyper-reflective material

C. Epi-retinal membrane

D. Retinoschisis

What is the likely diagnosis?

Click Here for Case Diagnosis

Learning Objectives:

1) Recognize the OCT findings in wet AMD with corresponding CNVM.