Case study: management of idiopathic intracranial hypertension

1 February 2024
Winter 2024

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.

Related further reading

Joint response calls for public protection, clarity and evidence to be central to new system.

The UK Eye Care Data Hub, the most up-to-date and comprehensive model of the UK’s eye care workforce and eye diseases in one place, has been expanded to almost double the number of eye conditions and update aspects of the sector workforce data.

The College of Optometrists has teamed up with road safety charity IAM RoadSmart to encourage drivers of all ages to see clearly when it comes to vision and driving standards.