Case 1 Topcon 3D OCT Fund us Image OD

A 25 year old female presented with blurred vision in her right eye. She was concerned about her eyes because she was told by her neurologist that patients with her disorder, nuerofibromatosis type 1, sometimes develop visual problems. Previous eye exams failed to reveal any unusual findings. Our patient was first relieved when a -1.00 lens corrected her vision in her right eye to 20/20 and a -0.50 in her left eye also resulted in 20/20. The slit lamp exam revealed several iris spots which were small Lisch nodules or just commonplace iris freckles.

The fundus through a dilated pupil was considered to be unremarkable with direct ophthalmoscopy and with indirect ophthalmoscopy (with a 78D lens and with a BIO). Fundus photography was also judged to be unremarkable in both the right and left eye.