OCT case study walkthrough

As you read through this article, you will be presented with a series of images and questions. Carefully consider your answers to each question before reading on to see if they concur with those of the author.

First, consider the scan below;

What retinal disease is shown in the image on the right?

Let us consider this in more detail by looking at some particulars of the case.

Patient presentation

The OCT image above is of a 58-year-old female patient who has been visually asymptomatic, with good vision. She now reports a sudden loss of vision affecting the upper centre field, which is confirmed with testing to confrontation. Snellen visual acuity is 6/24 and there is no improvement with pin hole.