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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:
Patient Presentation: A 28-year-old female with no past ocular history presented to emergency clinic with decreased vision OD. Her visual acuity was 20/25 OD and 20/20 OS. Colour vision was 14/14 on Ishihara plates OU. Fundus photos and OCT macula OD is shown below:
Question: What pathology is seen in the OCT macula above?
Question: An intravenous fluorescein angiography (IVFA) was conducted and demonstrated hyper-fluorescence that increases both in size and intensity in the late phase. What is the most likely diagnosis?
1. Jutley G, Jutley G, Tah V, Lindfield D, Menon G. Treating peripapillary choroidal neovascular membranes: a review of the evidence. Eye (Lond) 2011;25(6):675-81.
2. SR Singh, AT Fung, S Fraser-Bell, et al. One-Year Outcomes of Anti-Vascular Endothelial Growth Factor Therapy in Peripapillary Choroidal Neovascularisation. Br J Ophthalmol 2019;EPub Ahead of Print.
1. To recognize clinical signs and treatment of peripaillary CNVM.
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