Case study: management of idiopathic intracranial hypertension

1 February 2024
Winter 2024
Public health Practice

Sean Matthews MCOptom describes a patient attending his Northampton practice who demonstrated how this relatively rare chronic condition requires management within secondary care to prevent permanent loss of vision.

Presentation

A 34-year-old female patient attended our practice, Sheinman Opticians, in November 2022. She had been booked in for an eye examination as she had become aware of increasing photopsia, mainly in bed at night, twice a week for around one month. She had also noticed a “circle” in her vision, in the inferotemporal part of her visual field, for about two weeks.

Case history

RE: -6.25/-0.75×95 VA 6/6 ( 0.5 prism dioptres, base up).

LE: -4.75/-1.50×85 VA 6/6.

Near addition: +0.50DS binocular near VA N4 @40cm.

Sign in to continue

Forgotten password?
Register

Not already a member of the College?

Start enjoying the benefits of College membership today. Take a look at what the College can offer you and view our membership categories and rates.

benefits of membership

Related further reading

Protecting patients and staff in Primary Care

Our latest position statement on seeing patients in primary care during COVID-19.

Infectious diseases OCT Public health

Fright Night: College of Optometrists advises the public to protect their sight this Halloween

The College advises the public against wearing novelty contact lenses this Halloween unless they are prescribed.

Public health

COVID-19: A sharp rise in DIY-related eye injuries

Our advice on eye protection when working in the home or garden.

Infectious diseases Public health