Unilateral papilledema and peripapillary polypoidal choroidal vasculopathy as the presenting manifestations of intracranial hypertension
ABSTRACT We have reported here the case of a 54-year-old woman with intracranial hypertension that presented with the unique features of unilateral papilledema and peripapillary polypoidal choroidal vasculopathy. Our investigations lead to the diagnosis of idiopathic intracranial hypertension and an incidental small right frontal meningioma. The patient was accordingly treated with oral acetazolamide, followed by three consecutive monthly intravitreal injections of bevacizumab, which resulted in the inactivation of the polypoidal choroidal vasculopathy, marked reduction of lipid exudation, and complete absorption of the subretinal fluid. This case serves as the first documentation of polypoidal choroidal vasculopathy associated with papilledema. It also demonstrates that choroidal vascular abnormalities may occur even when optic disk edema is unilateral, which is an uncommon manifestation of increased intracranial pressure. Prompt recognition of such findings and its appropriate management are essential for adequate treatment and prevention of irreversible visual loss.
Main Authors: | Matos,Aline Mota Freitas, Cunha,Leonardo Provetti, Suzuki,Ana Cláudia F., Mello,Luiz Guilherme Marchesi, Preti,Rony C., Zacharias,Leandro C., Monteiro,Mário L. R. |
---|---|
Format: | Digital revista |
Language: | English |
Published: |
Conselho Brasileiro de Oftalmologia
2021
|
Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492021000600598 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Similar Items
-
Idiopathic polypoidal choroidal vasculopathy masquerading as choroidal tumors: one year follow-up of a peripheral lesion
by: Preti,Rony Carlos, et al.
Published: (2015) -
Silent polypoidal choroidal vasculopathy in a patient with angioid streaks
by: Cebeci,Zafer, et al.
Published: (2016) -
Polypoidal choroidal vasculopathy causing cystoid macular edema and the response to Ranibizumb intravitreal treatment
by: Amaro,Miguel Hage, et al.
Published: (2011) -
Coexistence of papilledema and pseudopapilledema after remission of idiopathic intracranial hypertension by bariatric surgery
by: Simão,Luciano Mesquita, et al.
Published: (2020) -
Long-term evolution of papilledema in idiopathic intracranial hypertension: observations concerning two cases
by: Piovesan,Elcio Juliato, et al.
Published: (2002)