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Slide 1
OCT Case Studies
Retina
Cornea
Glaucoma
Retina Case
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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
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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
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Avastin injection done OS
1 month s/p injection CME resolved
VA: 20/25+ uncorrected
Cornea Case
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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
Cornea Case
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First exam:
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VA 20/150
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Full thickness corneal laceration
w/ localized edema
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(-) seidel, trace cell
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OCT done
OCT from first exam
Cornea Case
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Second exam: 5 days later
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Corneal edema improved
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(+) seidel
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Cornea repair recommended
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Second OCT done
Cornea Case
OCT from second exam – before surgery
Cornea Case
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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
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VA 3 months after trauma: 20/100
ph: 20/40-3
Patient considering corneal transplant
Glaucoma Case
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65 y.o. male; glaucoma consult
IOP OD: 26
OS: 33
C/D:
OD .45 H/V
OS .75 with thinned temporal rim
Glaucoma Case - OD baseline
OCT
Visual Field
Glaucoma Case - OS baseline
OCT
Visual Field
Glaucoma Case
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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.
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