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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 60
Patient Presentation: A 66-year-old male was referred for decreased vision and metamorphopsia OS. His past ocular history is significant for central serous chorioretinopathy OS that self-resolved fifteen years ago. His medical history is significant for diabetes mellitus type II, chronic obstructive pulmonary disease, and a past episode of myocardial infarction. His current medications include metformin, sitagliptin, empagliflozin, rosuvastatin, lisinopril, aspirin and albuterol. He had a 11-year smoking history. On examination, BCVA is 20/30 OD and 20/60 OS. There is no RAPD and IOP is stable. The patient’s OCT macula (OS) is shown below:
Question: Please describe the findings on this OCT.
Question: The patient returns several months later, and a repeat OCT macula is performed as shown above. Which of the following types of focal choroidal excavation does the patient present with?
Question: Which of the following conditions are focal choroidal excavations associated with?
Question: Which of the following are possible treatment strategies for this patient?
Learning Objectives:
1) To understand the role of OCT as the gold standard technique in diagnosing focal choroidal excavations
2) To understand focal choroidal excavation associated complications or conditions
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