Abstract | BACKGROUND: CASE: We report the case of a 26-year-old woman who presented with serious bilateral visual impairment, severe papilledema, and retinal edema in a wide area. She was diagnosed with pseudotumor cerebri. Because of her progressive visual loss and failed medical control, she underwent a lumboperitoneal shunt. After the operation, her visual acuity and visual field improved in her left eye and the retinal edema resolved, but residual pigment epithelial damage was observed. In the first-order component of multifocal electroretinogram, the amplitudes were reduced, and peak implicit times were prolonged in the nasal retina. CONCLUSION:
Retinal damage caused by severe and long-standing retinal edema may contribute to the pathological mechanisms for visual loss as well as optic nerve damage. The course of visual function in our case was important for diagnosis and therapeutic decisions. Because a poor visual outcome may result from pseudotumor cerebri, an ophthalmologist should closely monitor visual loss and visual function.
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Authors | Yoko Kasamatsu, Keisuke Seki, Yoshiharu Kobayashi |
Journal | Nippon Ganka Gakkai zasshi
(Nippon Ganka Gakkai Zasshi)
Vol. 108
Issue 6
Pg. 375-83
(Jun 2004)
ISSN: 0029-0203 [Print] Japan |
PMID | 15242073
(Publication Type: Case Reports, English Abstract, Journal Article)
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Topics |
- Adult
- Female
- Humans
- Papilledema
(etiology, physiopathology, therapy)
- Pseudotumor Cerebri
(complications, surgery)
- Treatment Outcome
- Ventriculoperitoneal Shunt
- Vision Disorders
(etiology, physiopathology, therapy)
- Visual Acuity
- Visual Fields
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