OCT Case Studies

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
(No Transcript)
11
Cornea Case

• Second exam 5 days later
• Corneal edema improved
• () seidel
• Cornea repair recommended
• Second OCT done

12
Cornea Case
OCT from second exam before surgery
13
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

14
Laceration Sealed
15
Cornea Case
OCT 1 day post-op
16
Cornea Case
OCT 4 days post-op
17
Cornea Case

• VA 3 months after trauma 20/100 ph 20/40-3
• Patient considering corneal transplant

18
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

19
Glaucoma Case - OD baseline
OCT
Visual Field
20
Glaucoma Case - OS baseline
OCT
Visual Field
21
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.