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| UNIVERSITY OPHTHALMOLOGY CONSULTANTS |
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CASE OF THE MONTH CASE #3 |
| WHAT WOULD YOU DO NEXT? |
| You should perform a lumbar puncture. |
| Nothing was done. |
| Five years later, the patient was referred to the neurophthalmology service at the University of California, San Francisco for evaluation of transient visual obscurations and progressive visual field loss in her right eye. Bilateral papilledema due to pseudotumor cerebri was diagnosed based on the results of head CT and lumbar puncture. The Snellen visual acuity was 20/20 OD and 2/200 OS, and there was a left relative afferent pupillary defect. |
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