1 / 21

OCT Case Studies

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 .

tara
Download Presentation

OCT Case Studies

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. OCT Case Studies Retina Cornea Glaucoma

  2. 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

  3. Retina Case First OCT 2½ weeks post cataract surgery OS

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

  5. Retina Case Second OCTAfter lens fragment removed

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

  7. Cornea Case • 39 y.o. female struck with metal wire OS • Her OD started her on Vigamox q2h and PA qid and cycloplegic tid • Referred to PCLI

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

  9. OCT from first exam

  10. Cornea Case • Second exam: 5 days later • Corneal edema improved • (+) seidel • Cornea repair recommended • Second OCT done

  11. Cornea Case OCT from second exam – before surgery

  12. 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

  13. Laceration Sealed

  14. Cornea Case OCT 1 day post-op

  15. Cornea Case OCT 4 days post-op

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

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

  18. Glaucoma Case - OD baseline OCT Visual Field

  19. Glaucoma Case - OS baseline OCT Visual Field

  20. 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.

More Related