case_images: PMC10032434_01
case_images: Color fundus photos of right eye (a) and left eye (a) showing severe optic disc edema
  in both eyes with peripapillary hemorrhages and cotton wool spots emanating from the
  disc and macular exudates obtained at 1 month post-discharge.
case_images: 10.1177_26330040231152957-fig1.jpg
case_images: PMC10032434_01_10.1177_26330040231152957-fig1.jpg
case_images: fig1-26330040231152957
case_images: These findings observed at the time of hospitalization showed mild improvement on fundus imaging obtained 1 month post-discharge (Figure 1).
case_images: Axial T2-weighted MRI orbits showing features of increased ICP with flattening of
  posterior globes (arrows) and bilateral perioptic nerve sheath distention.
case_images: 10.1177_26330040231152957-fig2.jpg
case_images: PMC10032434_01_10.1177_26330040231152957-fig2.jpg
case_images: fig2-26330040231152957
case_images: Magnetic resonance imaging (MRI) of the head and orbit and magnetic resonance venography (MRV) of the brain showed confirmatory findings of a partially empty sella, flattening of the posterior globes, and distention of subarachnoid fluid surrounding the optic nerve sheaths (Figure 2).
case_images: Findings 1 month after presentation. OCT of the retinal nerve fiber layer (RNFL) of
  both eyes showed severe papilledema with average RNFL thickness of 435 and 483 microm,
  respectively (a). Humphrey Visual Field 30-2 showed a corresponding enlargement of the
  blind spots and paracentral changes in both eyes (b). Macular OCT scans of the right (i)
  and left (ii) eyes demonstrate symmetrical irregular outer retinal thinning with
  disruption of the photoreceptor ellipsoid zone (c).
case_images: 10.1177_26330040231152957-fig3.jpg
case_images: PMC10032434_01_10.1177_26330040231152957-fig3.jpg
case_images: fig3-26330040231152957
case_images: Despite good central vision, severe papilledema with visual field changes of enlarged blind spots and paracentral changes correlating to his macular pathology persisted (Figure 3).
case_images: Findings 13 months after presentation. OCT of the RNFL of the right and left eyes
  demonstrated significant reduction in papilledema when compared with 1 month after
  presentation. Average RNFL thickness was 131 and 116 microm, respectively. Ganglion cell
  analysis of the right and left eyes also demonstrated normal ganglion cell layer and
  inner plexiform layer thickness, averaging 88 and 87 microm in the right and left eyes,
  respectively (a). Humphrey Visual Field 30-2 similarly showed a reduction in blind spots
  (b).
case_images: 10.1177_26330040231152957-fig4.jpg
case_images: PMC10032434_01_10.1177_26330040231152957-fig4.jpg
case_images: fig4-26330040231152957
case_images: Repeat optic nerve height and retinal nerve fiber layer analysis of both eyes 13 months later demonstrated significantly decreased thickness compared with initial measurements (Figure 4(a)). Ganglion cell and inner plexiform layer thickness corroborated the improvement in papilledema and intact optic nerve function, demonstrating normal values in all sectors bilaterally (Figure 4(a)).