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A 24-year-old woman with rapidly progressing vision loss
Digital Journal of Ophthalmology 2017
Volume 23, Number 1
January 15, 2017
DOI: 10.5693/djo.03.2016.10.001
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Milad Modabber, MD, MSc | Department of Ophthalmology, McGill University, Montreal, Quebec, Canada
Vasudha Gupta MD, FRCSC | Department of Ophthalmology, Queen’s University, Kingston, Ontario, Canada
Amadeo R. Rodriguez, MD | Department of Surgery Ophthalmology and Medicine Neurology, McMaster University, Hamilton, Ontario, Canada
Differential Diagnosis
Bilateral optic nerve head edema is presumed to be due to increased intracranial pressure (ICP) until proven otherwise. Other potential causes of bilateral optic nerve head swelling include malignant hypertension, intracranial tumor, hydrocephalus, and vascular abnormalities, such as dural sinus thrombosis. Pseudo-papilledema, including congenital drusen can also mimic the presentation of idiopathic intracranial hypertension (IIH). Other conditions to consider are bilateral anterior ischemic optic neuropathy, optic nerve papillitis, or other infectious, inflammatory, or infiltrative etiologies affecting the optic nerves.