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:
Contributor: Marko Tien (University of British Columbia Medical Student)
Patient Presentation: 68-year-old male was referred to ophthalmology for a macular assessment. He endorsed a 2-month history of metamorphopsia his right eye. VA was 20/30 OD and 20/25 OS. Fundus exam and OCT of the macula are shown below:
Question: Given the fundus photo and OCT in the right eye, what abnormality is seen?
Question: You examine another patient with AMD in clinic and obtain the following OCT scan. What are the hyper-reflective foci (yellow arrows)?
Question: What does the presence of hyper-reflective foci mean for the prognosis in this patient?
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1. To identify intraretinal hyper-reflective foci on OCT
2. To understand the significance of intraretinal hyper-reflective foci for patients with AMD