First Author: Q.Alfahad UK
Co Author(s): V. Felcida N. Ajith Kumar R. Chavan
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To present a case of bilateral SNIFR with follow up using multimodal imaging.
Department of Medical Retina, Birmingham & Midland Eye Centre, Birmingham, UK
We present a case of a 58 year old who was referred by the optician for macular changes noted on a routine eye test. A complete ophthalmology clinical examination and diagnostic tests including slit lamp examination, Fundus photography, wide-field imaging, optical coherence tomography (OCT), Fundus Auto Fluorescence (FAF), Infra-red imaging, Blue Reflectance Imaging, Fundus Fluorescence angiography (FFA), Electro-diagnostics were performed.
An asymptomatic 58 year old was referred by the optician for macular changes noted in both eyes, She had no significant ocular history. On Fundus examination she had bilateral stellate macular changes, OCT showed splitting of the outer plexiform layer (OPL) in both eyes.FFA did not show any leakage. Optic discs were normal with no evidence of optic disc pit. She did not have any myopic changes. A clinical diagnosis of SNIFR was made after ruling out other causes of schisis
SNIFR is a condition described previously where in there is splitting of the outer plexiform layer. It is important to rule out other causes of schisis as the management and prognosis can be different. SNIFR usually have a favourable visual prognosis.