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Ophthalmology and Visual Sciences

Idiopathic Intracranial Hypertension (IIH)

Idiopathic Intracranial Hypertension (IIH)

Category(ies): Neuro-ophthalmology
Contributor: Kimberly Winges, MD
Photographer: Toni Venckus, CRA

IIH first presentation in a 19-year-old Female with pulse-synchronous tinnitus and positional headache. Papilledema Grade 4 in both eyes.

IIH right eye
Right eye
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IIH left eye
Left eye
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IIH right eye, optic nerve head focused
Right eye
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IIH left eye, optic nerve head focused
Left eye
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IIH right eye, Enlarged
Right eye
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IIH left eye, Enlarged
Left eye
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Chronic papilledema from longstanding untreated IIH

Chronic papilledema from longstanding untreated IIH

Category(ies): Neuro-ophthalmology
Contributor: Lindsay Y. Chun MD; Sophia M. Chung MD
Photographer: Skiles, Sarah L
Posted: 07/01/2024

29 year-old female presenting with optic atrophy of the right eye and papilledema with scrolled glial veil of the left eye in setting of weight gain to over 300 pounds.

In the right eye photo there is severe optic nerve pallor associated with peripapillary fibrosis and perivascular changes related to severe and chronic disc edema.
In the right eye photo there is severe optic nerve pallor associated with peripapillary fibrosis and perivascular changes related to severe and chronic disc edema.
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In the left eye photo there is persistent disc edema with peripapillary changes, peripapillary wrinkles with an overlying glial veil, indicating persistent raised intracranial pressure.
In the left eye photo there is persistent disc edema with peripapillary changes, peripapillary wrinkles with an overlying glial veil, indicating persistent raised intracranial pressure.
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In the right eye nerve OCT there is intraretinal schisis next to the right nerve and in the papillomacular bundle, and abrupt RPE atrophy.
In the right eye nerve OCT there is intraretinal schisis next to the right nerve and in the papillomacular bundle, and abrupt RPE atrophy.
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In the left eye nerve OCT there is abrupt RPE atrophy as seen in the right eye.
In the left eye nerve OCT there is abrupt RPE atrophy as seen in the right eye.
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Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.

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