A preadolescent girl presented to the pediatric ophthalmology clinic for evaluation and treatment of possible papilledema, discovered by an outside eye care professional during routine eye examination. Aside from mild hyperopic astigmatism, there was no significant ocular, medical, or family history. The patient denied any change in vision, scotomas, transient visual obscurations, dimming of light, photophobia, or pain. She denied headache, pulsatile tinnitus, weight gain, joint pain, lethargy, decreased appetite, fever, or chills. The patient was not taking any prescription or over-the-counter medicines; however, she had recently used a short-term course of oral antibiotics for a tooth infection.
Dikopf M, Abbasian J, Bhat P. Bilateral Optic Nerve Head Changes in an Asymptomatic Preadolescent Girl. JAMA Ophthalmol. Published online December 01, 2016. doi:10.1001/jamaophthalmol.2016.2855