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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:
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Retina
Case 51
Patient Presentation: An 83-year-old woman, known for OD moderate myopia (-5.00 OD) and high myopia OS (-8.00D), presented to a tertiary retina clinic referred for atypical fundus examination by her optometrist. A 5-Line Raster OCT of her right and left eyes were performed and shown below:
Question: Based on the OCT images, what condition does this patient have in the left eye, associated with her high myopia?
Question: Which of the following is a complication that the condition mentioned above can lead to?
Question: How would you treat a macular hole?
Question: How are VMTs classified?
Learning Objectives:
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Identify a posterior staphyloma and vitreomacular traction on OCT
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Understand the complications associated with posterior staphyloma
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Understand basic treatment of macular holes
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Recognize the classification system for vitreomacular traction and vitreomacular adhesion
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