The importance of OCT in diagnosis and management of vitreomacular disorders

Himali Shah MCOptom, Resident Optometrist at Specsavers, Leicester North, discusses a case of a patient presenting with vitreomacular traction.

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INITIAL COMPLAINT

A 62-year-old female presented for her first sight test at our practice after noticing blurring of her near vision over the past few days. She was otherwise asymptomatic, with no new flashes or floaters being reported.

PATIENT HISTORY

She was generally in good health and taking statins to control her hyperlipidemia. She had been treated for a macular hole in the right eye (RE) over the summer of 2018, which involved a vitrectomy and intraocular lens (IOL) implant. The patient was compliant with postoperative advice and maintained a face-down position for 10 days, and was eventually discharged from the hospital eye service (HES) after obtaining visual acuity (VA) of 6/7.5- and N8 in this eye.

Refraction was performed and VAs of 6/7.5- and N8 were obtained for both the RE and LE. Indirect ophthalmoscopy was used to assess ocular health. In the RE the IOL was clear with a healthy disc appearance and the macular region looked clear and flat. In the LE there were mild nuclear sclerotic lens opacities with a similar disc and macular appearance as the RE.

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