Question 3: Describe the patient’s OCT retinal nerve fibre layer (RNFL) and ganglion cell layer (GCL) analysis

Question 3: Describe the patient’s OCT retinal nerve fibre layer (RNFL) and ganglion cell layer (GCL) analysis

Answer

The RNFL OCT scans are of good quality and adequate signal strength (6/10) in both eyes. They show marked asymmetry between the two eyes. The affected right eye shows increased thickness of the RNFL globally. The OCT of the unaffected left eye shows RNFL thickness within normal limits.

The GCC OCT scans were of good quality and excellent signal strength (10/10) in both eyes. The affected right eye showed two abnormal sectors superiorly – one superotemporally measuring below the fifth percentile and one superiorly measuring below the first percentile. The left eye GCC measurements were all within normal limits. No macular pathology was identified in either eye.

Answer ends