Short-term Optic Disc Cupping Reversal in a Patient With Mild Juvenile Open-angle Glaucoma Due to Early Idiopathic Intracranial Hypertension.

Umfress AC, Mawn LA, Joos KM
J Glaucoma. 2019 28 (4): e53-e57

PMID: 30531192 · DOI:10.1097/IJG.0000000000001151

PURPOSE - The purpose of this study was to report a case of optic disc cupping reversal in an adult without significant intraocular pressure-lowering treatment.

PATIENT - A 20-year-old female with a history of mild juvenile open-angle glaucoma who developed subjective blurred vision and a decrease in cupping of her optic discs.

RESULTS - Dilated examination demonstrated decreased cup-to-disc ratios in both eyes with a slight blurring of the disc margin in the right eye. The appearance of both optic discs returned to baseline after weight loss therapy.

CONCLUSIONS - An unexplained reduction of optic nerve cup-to-disc ratio should prompt a workup for other etiologies, such as increased intracranial pressure. Baseline photographs not subjected to computerized scan obsolescence are extremely useful in monitoring the long-term appearance of asymmetric optic discs as an adjunct to the clinical examination.

MeSH Terms (18)

Acetazolamide Carbonic Anhydrase Inhibitors Diet, Reducing Female Glaucoma, Open-Angle Humans Intraocular Pressure Optic Disk Optic Nerve Diseases Pseudotumor Cerebri Spinal Puncture Tomography, Optical Coherence Tonometry, Ocular Vision Disorders Visual Acuity Visual Fields Visual Field Tests Young Adult

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