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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 52
Patient Presentation: A 72-year-old male is referred to ophthalmology for blurred vision in the right eye over the past week. On examination, BCVA was 20/40 OD and 20/20 OS. An OCT macula OD was performed and is shown below.
Question: What is abnormality is NOT seen on the patient’s OCT images?
Question: What is the diagnostic entity on OCT macula?
Question: What is NOT part of the diagnostic criteria for a lamellar macular hole?
Question: How may this patient be managed?
Learning Objectives:
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To recognize and diagnose lamellar macular holes on OCT macula.
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