{"id":14907,"date":"2020-01-31T14:31:44","date_gmt":"2020-01-31T13:31:44","guid":{"rendered":"http:\/\/www.zeitzfrankozeitz.de\/?page_id=14907"},"modified":"2021-01-22T15:22:23","modified_gmt":"2021-01-22T14:22:23","slug":"case-1-presentation","status":"publish","type":"page","link":"https:\/\/www.zeitzfrankozeitz.de\/fr\/e-learning\/case-1-presentation\/","title":{"rendered":"Case 1 presentation"},"content":{"rendered":"\n

by Dr. Philipp Franko Zeitz, D\u00fcsseldorf, Germany<\/em><\/p>\n\n\n\n

Categories: Optic nerve, vitreoretinal, vascular changes<\/em><\/p>\n\n\n\n

Key Questions: Pathology or anomaly? Extensive treatment or observation?<\/em><\/p>\n\n\n\n

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In contrast to other case reports, we present expert-level cases without an unambiguous solution: A case report with a solution will only add more encyclopedic knowledge to Your repertoire, while an open-ended case report will train Your methods. Therefore each case highlights a specific problem expressed in the introduction.We won\u2019t offer the satisfying feeling of solving a puzzle correctly, but something more valuable: You will train Your skills by developing proper methods for \u201chow to proceed\u201d and You will help others to train their skills by giving them your perspective. <\/p>\n\n\n\n

Don\u00b4t be afraid to send Your opinion even if You do not feel safe. It\u2019s meant to be tough and You may stay anonymous, if You wish so.<\/p>\n\n\n\n

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Female, 78 years old<\/p>\n\n\n\n

History of non-insulin-dependent diabetes mellitus, history of very mild diabetic retinopathy in the last years without significant changes, mild and well controlled arterial hypertension, otherwise healty, especially no other cardiovascular diseases.<\/p>\n\n\n\n

Best-corrected visual acuity:<\/strong> OD 20\/20, OS 20\/25<\/p>\n\n\n\n

IOD:<\/strong> 18\/19 mmHg<\/p>\n\n\n\n

Anterior segment:<\/strong> OU shallow, but not occludable angle (slightly above 20\u00b0), mild cataract, otherwise within normal limits<\/p>\n\n\n\n

Fundus:<\/strong> OU optic disc sharp and pink, preretinal sharp bordered kidney-shaped membrane with fine vascularization on the nasal margin of the optic disc (see photos, FLA and OCT), macula without abnormalities, few microaneurysms and dot hemorrhages in the mid-periphery and periphery<\/p>\n\n\n\n

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Optic nerve photography<\/h2>\n\n\n\n