Case 5

Patient Presentation: A 11-year-old aphakic male with a history of microspherophakia s/p cataract surgery presents to an emergency room with decreased vision in the left eye x 3 months. BCVA was 20/40 OD and 20/100 OS. His pupils remained meiotic despite multiple attempts to dilate his pupils pharmacologically. The view to the fundus was poor. An OCT macula was performed demonstrating the following:

Question: What abnormalities do you visualize in the patient's OCT image?

What is the Diagnosis?

An OCT was also performed on the contralateral right eye demonstrating the following:

Question: What is the diagnosis?

Question: What layer of the retina is the yellow arrow pointing to?

Learning Objectives:


1) Diagnose a retinal detachment on OCT and identify the difference between a macula on and off retinal detachment.

2) Recognize that OCT can be useful in cases where there is a sub-optimal view of the macula.

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