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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 .

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OCT Case Studies

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  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.

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