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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 73
Contributor: Guilherme Feltrin de Barros
Patient Presentation: An 88-year-old female presented to retina clinic with blurred vision OU for the past 3 months. Visual acuity was 20/150 OD and 20/100 OS. IOP was within normal limits. Fundus examination demonstrated fine drusen and pigmentary changes at the macula OU. EDI OCT was performed and is shown below:
Question 1: What abnormality is seen on the patient's OCT macula images?
Question 2: What is the diagnosis?
Question 3: What inherited retinal diseases can mimic age-related choroidal atrophy?
Learning Objectives:
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Describe the findings and significance of choroidal atrophy.
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Understand the differences of age-related choroidal atrophy with AMD.
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