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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 46
Patient Presentation: A 69-year-old Caucasian female with a past medical history of breast cancer was referred to a tertiary retina clinic for assessment of a suspicious retinal lesion in the right eye found by her optometrist on routine examination. The patient was asymptomatic with no past ocular history. Vision was 20/25 OD and 20/20 OS with no RAPD and IOP within normal limits. Dilated fundus examination demonstrated a discrete, yellow lesion in the superior mid periphery over the superior arcade. Fundus photo OD and OCT over the lesion are shown below:

