Skip to main content
. 2015 Jun 12;56(6):3850–3859. doi: 10.1167/iovs.15-16450

Figure 5.

Figure 5

Example of a patient with decreased visual acuity from a combination of subretinal fluid and optic neuropathy with a poor outcome. On initial presentation, the patient had visual acuities of 20/125 in the right eye and 20/30 in the left eye, grade IV optic disc edema in both eyes (A), and constricted, scotomatous Goldmann visual fields (B). Optical coherence tomography of the macula at presentation demonstrates subretinal fluid in both eyes (C). The GCL-IPL complex was segmented with the Iowa Reference Algorithm (C) and the average thickness was normal in both eyes (D). After 2 weeks, visual acuity improved to 20/40 in the right eye and 20/25 in the left eye (E), but the Goldmann visual fields continued to show significant constriction (F). The GCL-IPL was segmented with the Iowa Reference Algorithm (G) and the average thickness was significantly decreased by 16.9 μm in the right and 10.6 μm in the left eye (H). After 3 months, visual acuity had worsened to light perception in both eyes and the optic discs developed severe pallor after resolution of the optic disc edema (I). The GCL-IPL was very thin, showing a 36.7 μm reduction in the right eye and 34.8 μm reduction in the left eye when compared with the initial GCL-IPL thickness (J).