Case #21 – The Disc at Risk

The Disc at Risk – Page 17 of 47

Optovue RTVue OCT Images OS (1/22/10) The size of the disc could not be adequately measured OS due to severe disc blurring shown in the lower left corner by the scanning laser ophthalmoscope (SLO) image. The disc measured 1.93 mm2 OD and any disc below approximately 2.25 mm2 is considered to be somewhat

The Disc at Risk – Page 17 of 472020-10-02T21:11:38+00:00

The Disc at Risk – Page 16 of 47

Optovue RTVue OCT 3D Disc Peel Video OS  (1/22/10) The 3D peel reveals a grossly elevated disc and inner retinal swelling surround the disc.

The Disc at Risk – Page 16 of 472020-10-02T21:11:48+00:00

The Disc at Risk – Page 15 of 47

Optovue RTVue OCT 3D Images OS (1/22/10) Note the dramatic elevation of the optic nerve head and inner retinal swelling as depicted in the OCT sections of the left eye.

The Disc at Risk – Page 15 of 472020-10-02T21:11:57+00:00

The Disc at Risk – Page 14 of 47

Optovue RTVue OCT 3D Disc Peel Video OD (1/22/10) The 3D peel reveals multiple normal sections through the optic nerve and surrounding retina.

The Disc at Risk – Page 14 of 472020-10-02T21:12:06+00:00

The Disc at Risk – Page 13 of 47

Optovue RTVue OCT 3D Images OD (1/22/10) The Optovue RTVue 3D image demonstrates a normal optic nerve head as well as a horizontal and vertical OCT section.

The Disc at Risk – Page 13 of 472020-10-02T21:12:18+00:00

The Disc at Risk – Page 12 of 47

Optomap® plus with ResMax™ Green Separation Images OS Note the small hemorrhage superior to the disc that is visible on 1/22/10 and 1/29/10. However the hemorrhage resolved and was no longer visible several weeks later. Also the RNFL appears to become more attenuated above and below the disc from 1/22/10 to 2/16/10. The

The Disc at Risk – Page 12 of 472020-10-27T11:27:54+00:00

The Disc at Risk – Page 9 of 47

Optomap® plus with ResMax™ images 1/22/10 Note the blurred disc borders in the left eye as contrasted to the right. There is also localized swelling of the retinal nerve fiber layer (RNFL) immediately around the disc OS.

The Disc at Risk – Page 9 of 472020-10-02T21:13:07+00:00

The Disc at Risk – Page 8 of 47

Optomap® Color Fundus Image of Left Eye 2/16/10 Note the disc swelling and blurring has regressed substantially approximately one month after initial presentation.

The Disc at Risk – Page 8 of 472020-10-02T21:13:17+00:00