Macular Subretinal Neovascular Membrane Associated with Pseudotumor Cerebri

Akova, Yonca A.; Kansu, Tülay; Yazar, Zeliha; Atabay, Cagla; Karagöz, Yasemin; Duman, Sunay

doi:10.1097/00041327-199412000-00002

Cited by 17 publications

(9 citation statements)

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“…3 Additionally, subretinal neovascular membranes may result from papilledema. 12,13 Optical coherence tomography demonstrated separation of the retina from the underlying choroid by subretinal fluid in association with decreased visual acuity in 7 cases. In some cases the subretinal fluid appeared to be localized to the subfoveal region (cases 1, 4, and 5) but in others, there appeared be continuity between the subfoveal region and the optic disc, suggesting that the subretinal fluid came from the optic nerve heads (cases 2, 3, 6, and 7).…”

Section: Commentmentioning

confidence: 99%

Optical Coherence Tomography Demonstrates Subretinal Macular Edema From Papilledema

Hoye¹

2001

Arch Ophthalmol

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Section: Commentmentioning

confidence: 99%

Optical Coherence Tomography Demonstrates Subretinal Macular Edema From Papilledema

Hoye¹

2001

Arch Ophthalmol

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“…Abaixo, campo visual computadorizado evidenciando melhora do defeito, mas persistência de escotoma cecocentral no olho direito nóstico regredindo quando o papiledema melhora (4,11,12,15,16) . Caballero-Presencia et al (12) relataram uma paciente com MNSR bilateral que involui após a redução da pressão intracraniana e resolução do papiledema.…”

Section: Discussionunclassified

“…Os autores concluíram que as MNSR que permanecem restritas à região peripapilar podem ser apenas seguidas, enquanto que aquelas que progridem para a região foveal devem ser tratadas. Avaliando-se sete pacientes previamente publicados que permaneceram sem tratamento específico para a MNSR, 5 tiveram uma boa evolução visual (4,11,12,16) , 1 teve extensão da membrana em direção à fóvea (11) e 1 outro que tinha membrana subfoveal teve piora da visão (15) . Na paciente atual a presença de grande membrana já acometendo a região subfoveal e o feixe papilomacular e ocasionando grande baixa da acuidade visual nos levou a procurar um tratamento específico para a MNSR.…”

Section: Discussionunclassified

Membrana neovascular sub-retineana justapapilar em paciente com papiledema e hipertensão intracraniana idiopática

Monteiro¹,

Jales²,

Pimentel³

2009

Rev. bras.oftalmol.

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RESUMOEste trabalho descreve o caso de uma paciente de 41 anos, com diagnóstico da síndrome da hipertensão intracraniana idiopática (síndrome do pseudotumor cerebral) que desenvolveu perda visual em um dos olhos decorrente de membrana neovascular subretiniana envolvendo a região macular. Apesar do tratamento clínico adequado e da realização de fenestração da bainha do nervo óptico com boa regressão do edema de papila não houve resolução da membrana neovascular sub-retiniana mesmo após três injeções intravítreas seqüenciais de bevacizumab. Chamamos a atenção para esta complicação incomum do papiledema, revisamos a literatura a este respeito e discutimos as possíveis causas, bem como a evolução mais comum e as modalidades de tratamento disponíveis para tratamento da membrana neovascular sub-retiniana em pacientes com a síndrome do pseudotumor cerebral.

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“…(13) Distinguishing outer retinal changes from optic neuropathy as the cause of decreased visual acuity is important, because outer retinal changes in the macula affecting visual acuity may be largely reversible, whereas fulminant IIH with optic neuropathy and neuronal loss may require more aggressive management, such as immediate surgical intervention, to prevent further vision loss and irreversible blindness. (14,15,16,17,18) Diagnostic criteria for adult IIH-Adapted from the 2013 revised diagnostic criteria for IIH: (19) • Papilloedema;…”

Section: Diagnosismentioning

confidence: 99%

Optic Neuropathy in Idiopathic Intracranial Hypertension

Merticariu¹,

Baltă²,

Merticariu³

et al. 2017

JTMR

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Adult patients who present with papilloedema and symptoms of raised intracranial pressure need urgent multidisciplinary assessment including neuroimaging, to exclude life-threatening causes. Where there is no apparent underlying cause for the raised intracranial pressure, patients are considered to have idiopathic intracranial hypertension (IIH). Objectives: This review encompasses the newly revised diagnostic criteria for PTCS in adults and children and the role of obesity in the epidemiology, etiology, and management of IIH.Furthermore, this paper tries to offer a practical approach to assessing patients with papilloedema, the investigations and the subsequent management of patients with IIH. Methodology: PubMed was used to search for IIH and Pseudotumor Cerebri. The vast majority of the literature consisted of cohort studies, case control studies, systematic reviews and other narrative reviews. Conclusion: Idiopathic intracranial hypertension (IIH), also known as primary Pseudotumor Cerebri syndrome (PTCS), is a condition of unknown etiology which affects primarily overweight, reproductive-aged women and causes increased intracranial pressure (ICP). This review discusses the recently revised diagnostic criteria for IIH for adults and children and the controversial issues in its diagnosis and management.

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Macular Subretinal Neovascular Membrane Associated with Pseudotumor Cerebri

Cited by 17 publications

References 0 publications

Optical Coherence Tomography Demonstrates Subretinal Macular Edema From Papilledema

Optical Coherence Tomography Demonstrates Subretinal Macular Edema From Papilledema

Membrana neovascular sub-retineana justapapilar em paciente com papiledema e hipertensão intracraniana idiopática

Optic Neuropathy in Idiopathic Intracranial Hypertension

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