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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 58
Contributor: Bridget Moran (Trinity College Dublin Medical Student)
Patient Presentation: A 51-year-old male presents for a routine eye examination with no visual complaints. He denies a history of floaters or vision loss. BCVA is 20/20 OU and IOP is within normal limits OU. Slit-lamp examination is normal in both eyes with no evidence of uveitis. Fundus examination of the left eye is normal, while examination of the right eye reveals yellow-white particles in the vitreous (shown below). The rest of the fundus examination was normal.
OCT was subsequently performed on the right eye.
Question: What is the most likely source of the pathology in the above image?
Question: On OCT, which of the following can present with hyper-reflective dots in the vitreous?
Question: Which of the following is NOT considered to be a risk factor for the development of asteroid hyalosis?
Question: Which of the following statements about Asteroid Hyalosis is FALSE?
Learning Objectives:
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To identify OCT findings of asteroid hyalosis
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