PMC4821149_01
Fundus photographs at the initial visit showing severe papilledema in both eyes of an 11-year-old patient with idiopathic intracranial hypertension. a Right eye. b Left eye.
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F1
The anterior segment of the eye was normal, but ophthalmoscopy showed a marked swelling of the optic disc and severe retinal exudates in both eyes (fig. 1).
Head X-ray and MRIs of the young boy described in fig. 1. a Head X-ray showing dehiscence of the coronary suture. b Head MRI shows flattening of the posterior sclera and tortuous optic nerve in both eyes.
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F2
MRI showed no space-occupying lesions in the brain, but did show tortuous optic nerves, enlarged spinal fluid cavity, and flattened posterior sclera (fig. 2).
Chronological changes in the optic disc and visual field. Papilledema of both eyes is resolved. The visual field of the right eye is gradually improved. a, c Right eye. b, d Left eye.
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F3
The changes in the fundus and visual field during the course of the disease process are shown in fig. 3.