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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 8
Patient Presentation: A 21-year-old male was referred for a 1-month history of acute onset metamorphopsia in his left eye. His past ocular and medical history was non-contributory, and he did not endorse any family history of vision problems. He was otherwise well with no recent illnesses on presentation. On examination, his BCVA was 20/20 OU with a refraction of -7.00 OU. There was no RAPD and the IOP was 13 OD and 14 OS. There was no anterior segment inflammation or vitritis seen on slit lamp exam. Optos fundus photography and fundus autofluorescence were performed and is shown below:
Question: Please describe the main findings.
Question: Based on the fundus images, which of the following is on your differential?
You order serologic testing for syphilis, lysozyme, angiotensin-converting enzyme and a chest x-ray to evaluate for underlying sarcoidosis, and quantiferon for possible tuberculosis, all of which return negative. An OCT macula is performed and shown below:
Question: Describe the findings on the OCT
Question: Which of the following is the most common complication associated with punctate inner choroidopathy?
Learning Objectives:
1. To recognize clinical characteristics of punctate inner choroidopathy lesions that help distinguish it from other white dot syndromes.
2. To recognize key features of active vs inactive lesions of punctate inner choroidopathy on OCT.
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