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Metamorphopsia as an Initial Complaint of Idiopathic Intracranial Hypertension
Arch Ophthalmol. 2005;123:1003-1006.
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We examined 4 patients in the past 6 years who were first seen at our institution because of metamorphopsia and who were eventually diagnosed as having idiopathic intracranial hypertension (IIH). Idiopathic intracranial hypertension is a condition of elevated intracranial pressure that occurs primarily in young women. Neuroimaging findings and cerebrospinal fluid (CSF) indices are normal. Its cause is unknown, but recent weight gain is nearly universal. Symptoms include headache, pulse-synchronous tinnitus, visual obscurations, and diplopia. Most patients have papilledema, and they may have sixth nerve palsies. Optic nerve dysfunction can occur if the papilledema is severe or prolonged.
Report of Cases
Case 1. This 46-year-old woman’s medical history was notable for several sinus surgeries. Her ophthalmic history was notable for myopia (–5.00 OU). Fundus photographs taken in 1993 showed normal optic nerves, with a small choroidal hemorrhage in the right eye. At a routine follow-up visit in 1995 she complained of blurred, distorted . . . [Full Text of this Article]
Comment
AUTHOR INFORMATION
Judith E. A. Warner, MD;
Bradley J. Katz, MD, PhD
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