This 19YO obese female presented with 2 weeks of headaches, dizziness, and blurred vision. Vision was counting fingers OD and 20/400 OS. Blood pressure was 129/91.
Optos color RGB imaging shows severe bilateral optic disc swelling. The lumbar puncture opening pressure was extremely elevated at 43cm H2O, establishing the diagnosis of idiopathic intracranial hypertension (pseudotumor cerebri), and she was started on Diamox 500mg BID. Unfortunately, she was immediately lost to follow up.
