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 Her OD started her on Vigamox q2h and PA qid and cycloplegic tid Referred to PCLI 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 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 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.