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 42
Patient Presentation: A 54-year-old male presented for his 1-week follow-up appointment after undergoing left eye trabeculectomy surgery. On exam, visual acuity is 20/20 OD, 20/60 OS. The anterior chamber appears deep and the filtering bleb appears elevated, diffuse and is Seidel negative. IOP is 4 mmHg OS. OCT macula OS is shown below:
Question: What is the main abnormality seen on the OCT above?
Question: What is the most likely diagnosis?
Question: What is the likely cause of hypotony maculopathy in this patient?
References:
1. Budenz DL, Schwartz K, Gedde SJ. Occult Hypotony Maculopathy Diagnosed With Optical Coherence Tomography. Arch Ophthalmol. 2005;123(1):113–114.
2. Thomas M, Vajaranant TS, Aref AA. Hypotony Maculopathy: Clinical Presentation and Therapeutic Methods. Ophthalmol Ther. 2015;4(2):79-88.