Dr. Deepak Bhojwani, B13467, Dr. Vasavada Abhaykumar Raghukant, Dr. (Mrs) Mayuri B Khamar, Dr. Shail
Idiopathic intracranial hypertension (IIH) is a disorder of unknown etiology and is rare in teenagers. The primary problem is chronically elevated intracranial pressure (ICP).
The authors present a case of unilateral branch retinal artery occlusion in a teenager with IIH who was found to be normal in terms of other causes of retinal arterial thromboembolization.
Clinical case: A 21 year old boy,diagnosed case of IIH presented with sudden onset of inferior visual field defect in left eye associated with headache.On examination he was found to have superotemporal artery occlusion bisecting macula.
He was adviced lumbar puncture and ocular hypotensive therapy. Next day we noted partial recirculation of blood in the occluded artery which was confirmed on fundus fluoroscein angiography. On followup the pale ischaemic inner retina in the territory of occluded vessel regained its orangish red colour but inferior visual field defect persisted.