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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 9
Patient Presentation: A 5-year-old male presents with a 3-month history of gradually worsening vision in his left eye. Vision was 20/25 OD and 20/200 OS. There was no RAPD. The patient denied any recent history of ocular trauma and is otherwise healthy. There was a vague maternal family history of retinal detachment. The patient's fundus photograph is shown below:
Given the decline in vision, an OCT macula OS was performed below:
Question: What pathology is NOT present in the OCT shown to the left?
What is the Diagnosis?
Question: What is the management for this diagnosis?
Learning Objectives:
1. Recognize features of optic pit maculopathy, which include subretinal fluid, macular edema, and retinoschisis on OCT.
2. Understand the importance of examining the optic nerve head carefully for optic pits when assessing a patient with subretinal fluid involving the macula.
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