Narrative review of idiopathic intracranial hypertension in children / adolescents
3 October 2023
| Claire Howard
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EYE - Neuro-ophthalmology
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Adolescent, acetazolamide, intracranial pressure, paediatrics, papilloedema, pseudotumour cerebri
Idiopathic intracranial hypertension (IIH) affects both children and adults. Whilst the majority of IIH is mainly seen amongst adults, it also affects children. There are currently no clinical trials in IIH for those who are adolescents or children. The aims...
Intravitreal dexamethasone in diabetic macular oedema (DMO) - enhancing the response to anti-VEGF in non- or poor responders
3 February 2023
| Sofia Rokerya
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EYE - Vitreo-Retinal
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Aflibercept, Anti-VEGF, Dexamethasone implant, Diabetic macular oedema, Persistent, Ranibizumab, Resistant
This study aimed to describe the outcomes of a switch back from DEXi (dexamethasone implant) to anti-VEGF therapy in eyes that were treated temporarily with DEXi after an initial poor response to anti VEGF. Twenty-three eyes of 17 patients were...
Effects of idiopathic intracranial hypertension on the optic nerves
7 April 2021
| Claire Howard
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EYE - Neuro-ophthalmology
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Optic nerve, idiopathic intracranial hypertension, papilloedema
The authors review the latest evidence regarding how the optic nerves are affected by idiopathic intracranial hypertension (IIH), possible pathophysiology and methods of assessment. IIH is described as a clinical syndrome of raised intracranial pressure of unknown aetiology. A systematic...
A case study of posterior globe flattening in idiopathic intracranial hypertension
7 December 2020
| Claire Howard
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EYE - Neuro-ophthalmology
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Papilloedema, idiopathic intracranial hypertension, magnetic resonance imaging, raised intracranial pressure
The authors present a single case of posterior globe flattening without papilloedema in idiopathic intracranial hypertension. The case was a 64-year-old woman with a one-year history of transient visual loss in her left eye only. Visual acuity was 20/20 in...
Cystoid macular oedema following cataract surgery
1 October 2019
| Ivan Yip
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EYE - Cataract, EYE - Refractive
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NSAIDs, cataract, cataract surgery, corticosteroids, cystoid macular oedema
This review covers the history, incidence, diagnosis, risk factors, pathophysiology and medical management of postoperative macular oedema (PCMO), with a particular emphasis on key contemporary studies and novel observations. The authors revisit the incidence of well-established risk factors including intraoperative...
A case report showing the natural history of papilloedema
1 June 2019
| Claire Howard
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EYE - Neuro-ophthalmology
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Optic cup, intracranial hypertension, papilloedema
The case report describes a 54-year-old woman who developed increased intracranial hypertension due to chronic dural venous sinus thrombosis in the absence of any significant comorbidity. In the years preceding diagnosis, the patient underwent routine diabetic retinopathy screening; however, gradual...
Advanced vestibular Schwannoma case report
1 December 2016
| Claire Howard
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EYE - Neuro-ophthalmology
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Cerebellopontine angle tumour, papilloedema, vestibular schwannom
Vestibular Schwannoma is a benign, slow growing tumour which usually presents with unilateral hearing loss. It causes symptoms and findings on ophthalmic examination when the diagnosis is delayed. Ophthalmic findings may be related to the effect of the expanding mass...
Differential diagnosis in cases of suspected neuroretinitis
1 June 2016
| Claire Howard
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EYE - Neuro-ophthalmology
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Cat scratch disease, macular star, neuroretinitis, optic disc oedema, rickettsiosis, systemic hypertension
Neuroretinitis is a form of optic neuropathy typically characterised by acute unilateral visual loss with optic disc oedema and macular exudates arranged in a star figure around the fovea (complete or partial star). The purpose of this study was to...
A case report of papilloedema caused by unilateral jugular vein thrombosis
1 February 2016
| Claire Howard
|
Headache, idiopathic intracranial hypertension, jugular vein thrombosis, papilloedema
In rare cases, unilateral jugular vein thrombosis can lead to increased intracranial pressure and papilloedema, resulting in headaches and visual loss. The authors describe the case of a 45-year-old patient with squamous cell carcinoma of the larynx who developed right...
