OCT Case Studies Retina Cornea Glaucoma Retina Case

OCT Case Studies Retina Cornea Glaucoma

Retina Case § § § Pt seen for cataract 1 -week post-op exam OD Cataract surgery 2½ weeks earlier OS VA decreased OS: 20/60 Rare cell in AC OS Lens fragment seen in inferior angle OS First OCT done OS

Retina Case First OCT 2½ weeks post cataract surgery OS

Retina Case § § Lens fragment removed VA OS: 20/50 -1 DFE showed distinct foveal “yellow” spot OS Second OCT done OS

Retina Case Second OCT After lens fragment removed

Retina Case § § § Avastin injection done OS 1 month s/p injection CME resolved VA: 20/25+ uncorrected

Cornea Case § § 39 y. o. female struck with metal wire OS § Referred to PCLI Her OD started her on Vigamox q 2 h and PA qid and cycloplegic tid

Cornea Case § First exam: ► VA 20/150 ► Full thickness corneal laceration w/ localized edema ► (-) seidel, trace cell ► OCT done

OCT from first exam

Cornea Case § Second exam: 5 days later ► Corneal edema improved ► (+) seidel ► Cornea repair recommended ► Second OCT done

Cornea Case OCT from second exam – before surgery

Cornea Case § § § Laceration sealed w/ 3 sutures Tisseel over and in wound VA the day after repair: 20/200 OCT done 1 day post-op OCT done 4 days post-op

Laceration Sealed

Cornea Case OCT 1 day post-op

Cornea Case OCT 4 days post-op

Cornea Case § VA 3 months after trauma: 20/100 ph: 20/40 -3 § Patient considering corneal transplant

Glaucoma Case § § 65 y. o. male; glaucoma consult § C/D: OD. 45 H/V OS. 75 with thinned temporal rim IOP OD: 26 OS: 33

Glaucoma Case - OD baseline OCT Visual Field

Glaucoma Case - OS baseline OCT Visual Field

Glaucoma Case § Diagnosis is typically not made on one visit. § This case nicely demonstrates that coordination of evaluation, VF testing, and imaging confirms a glaucoma diagnosis. § Future testing will allow for comparison and assessment of progression.