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March 1980

Ischemic Optic Neuropathy in Chronic Papilledema

Author Affiliations

From the Departments of Ophthalmology (Drs Green, Lessell, and Loewenstein), Neurology (Dr Lessell), and Anatomy (Dr Lessell), Boston University School of Medicine.

Arch Ophthalmol. 1980;98(3):502-504. doi:10.1001/archopht.1980.01020030498013

• We evaluated the condition of a patient with chronic papilledema due to pseudotumor cerebri in whom a permanent, monocular, inferior, altitudinal, visual field defect suddenly developed. Clinical and fluorescein angiographic findings indicated that the loss of visual field was due to ischemic optic neuropathy. Ischemic optic neuropathy might occur in papilledema if the tissue pressure in the optic disc becomes sufficiently elevated to occlude the pressure-sensitive prelaminar arterioles.

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