Severe sudden visual loss caused by pseudotumor cerebri and lumboperitoneal shunt failure

G. T. Liu*, N. J. Volpe, N. J. Schatz, S. L. Galetta, J. T. Farrar, E. C. Raps

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

41 Scopus citations

Abstract

PURPOSE: Severe visual acuity loss associated with pseudotumor cerebri is usually caused by chronic optic disk edema or a retinal abnormality. METHODS: We treated a woman, with known pseudotumor cerebri treated with a lumboperitoneal shunt, who developed acute pallid optic disk swelling and visual acuity of R.E.: no light perception and L.E.: 20/70 in association with lumboperitoneal shunt failure. There were no contributory retinal lesions. RESULTS: The patient underwent optic nerve sheath fenestration and lumboperitoneal shunt revision. Visual acuity improved to 20/20 in both eyes. The papilledema resolved. CONCLUSION: The severe sudden visual loss was attributed to axoplasmic stasis and optic nerve ischemia associated with a sudden rise in intracranial pressure.

Original languageEnglish (US)
Pages (from-to)129-131
Number of pages3
JournalAmerican journal of ophthalmology
Volume122
Issue number1
DOIs
StatePublished - Jan 1 1996

ASJC Scopus subject areas

  • Ophthalmology

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