Clinical imaging: OCT clinical indicators for functional testing – Case #2

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With a focus on diagnosis of eye disease, particularly glaucoma, the following clinical images demonstrate the importance of performing appropriate functional testing when it is clinically indicated in structural assessment.

Case #2

Case supplied by Specsavers Joondalup, WA

Px: 54-year-old male
IOPs: RE 18 mmHg and LE 16mmHg

OCT widefield reports:

Consider the structural information provided in the OCT scans above:

  • What’s normal?
  • What’s abnormal?
  • Are there any clinical indications for functional testing?

Discussion

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The OCT widefield reports contain the following clinical indicators for functional testing:

  • Clear superior RNFL defect in both the RE and LE
  • Large CD ratios.

Functional testing was conducted and the visual field results are shown below.

Visual field results:

The visual field results show an inferior nasal defect in both eyes, with the RE being more severe and quite significant.

This patient was referred to ophthalmology, with glaucoma confirmed as the diagnosis.

More in the ‘OCT clinical indicators for functional testing’ series
Case #1 and series introduction
Case #2
Case #3
Case #4
Case #5
Case #6
Case #7

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