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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: An 82-year-old female with a past medical history of coronary artery disease, hypertension, osteoporosis and rheumatoid arthritis presents with decreased vision and metamorphopsia in her right eye. Visual acuity is 20/50 OD and 20/30 OS. IOP is stable OU. Unremarkable anterior segment examination. The patient’s OCT macula OD is shown below.
Question: Which of the following is visualized on the patient’s OCT macula OD?
Question: What is the threshold diameter size used to classify VMT into focal or broad?
Question: The patient returns 4 months later, and a repeat OCT macula OD is performed which is shown above. Which of the following do you see on the OCT macula OD above?
Question: Which of the following should you consider if the patient’s VMT is not released spontaneously?
To recognize the association of epiretinal membranes and vitreomacular traction syndrome.
To recognize the role of OCT in diagnosis and monitoring of vitreoretinal traction syndrome.
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