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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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Uveitis
Case 3
Patient Presentation: A 46-year-old healthy Asian man was referred to ophthalmology for papilledema. He presented with a 2-day history of new onset headache accompanied by blurred vision in both his eyes. He had a CT brain, which was normal. On examination, his vision was 20/400 OD and 20/200 OS. There was no RAPD. Slit lamp examination demonstrated a mild AC reaction. Fundus examination and OCT macula are shown below:
Question: Please describe the OCT macula photo above:
Question: What is the likely diagnosis?
Question: What OCT findings aid in monitoring disease activity in this disease?
Question: What is the most effective treatment for this disease?
Learning Objectives:
1. VKH is a multi-system disease that manifests in the eye with bilateral granulomatous pan-uveitis. It is classically associated with multiple serous retinal detachments.
2. Measuring disease activity of VKH can be monitored on OCT by observing choroidal thickness and the height of the sub-retinal fluid.
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