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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:
Contributor: Shaan Bhambra (McGill University Medical Student)
Patient Presentation: A 41-year-old male presented to a tertiary retina clinic complaining of “wavy” vision OD for 1 month. His past medical history was significant for hyperlipidemia and diet-controlled T2DM. His only medication was rosuvastatin. He notes new stress at home and work over the last 3 months.
Slit lamp examination was within normal limits. Fundus photos were taken and can be seen below:
OCTs of the macula were taken and are shown below:
Question: Based on the OCTs above, what is the most likely diagnosis?
Question: Which type of OCT allows for the best visualisation of the choroid?
Question: Which is the most effective treatment for this diagnosis at this time?
OCT identification and treatment of acute CSR
Treatment and management of acute CSR
Risk factors and pathophysiology of CSR
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