• Ophthal Plast Reconstr Surg · Nov 1999

    Case Reports

    Visual loss in idiopathic intracranial hypertension after resolution of papilledema.

    • K C Golnik, T M Devoto, R C Kersten, and D Kulwin.
    • The Cincinnati Eye Institute, and Department of Ophthalmology, University of Cincinnati, Ohio, USA.
    • Ophthal Plast Reconstr Surg. 1999 Nov 1; 15 (6): 442-4.

    PurposeTo demonstrate that progressive visual field loss may occur after resolution of papilledema in patients with idiopathic intracranial hypertension and persistently elevated intracranial pressure.MethodsA patient with idiopathic intracranial hypertension was evaluated with serial Humphrey automated static perimetry after initial treatment and resolution of papilledema.ResultsThe patient developed recurrent headache and elevated cerebrospinal fluid pressure. Optic nerve head appearance did not change. Automated perimetry demonstrated reproducible, worsening visual field loss; mean deviation decreased 11 dB in each eye. Visual field defects resolved after optic nerve sheath fenestration.ConclusionsIncreased intracranial pressure caused visual field loss after resolution of papilledema. Optic nerve sheath fenestration improved visual function in this patient.

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