Visual Field Mean Deviation at Diagnosis of Idiopathic Intracranial Hypertension Predicts Visual Outcome

Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society
Shravani MikkilineniLindsey De Lott

Abstract

A robust predictor of visual outcome in idiopathic intracranial hypertension (IIH) would be useful in management, but there is limited information on this point. The purpose of this study was to ascertain whether visual field mean deviation on standard static perimetry performed at diagnosis in a large patient cohort is a reliable predictor of visual outcome. We retrospectively reviewed the automated visual field mean deviations at diagnosis and at final encounter in 79 patients with IIH examined in the neuro-ophthalmology clinics at a single academic medical center from 1999 to 2015. Of the 79 study patients, 66 (84%) entered with visual field mean deviations of -7 dB or better. Of those 66 patients, 59 (89%) had final mean deviations of -4 dB or better and 33 (56%) had final mean deviations of -2 dB or better. The single patient who had an initial mean deviation of -7 dB or better and a poor final mean deviation (-32 dB) was nonadherent to prescribed medication. Of the 13 (21%) patients who entered with mean deviations worse than -7 dB, 11 (85%) ended up with poor visual outcomes, their final mean deviations ranging from -5 dB to -32 dB. Over half of those 13 patients had required surgery for IIH, often within 3 weeks of diag...Continue Reading

References

Mar 12, 2008·Neurology·B B BruceV Biousse
Oct 17, 2008·Neurology·B B BruceV Biousse
Jun 24, 2011·American Journal of Ophthalmology·Beau B BruceNancy J Newman
Jan 6, 2012·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Aimee J SzewkaValérie Biousse
Apr 24, 2014·JAMA Neurology·Michael WallUNKNOWN NORDIC Idiopathic Intracranial Hypertension Study Group
Jun 13, 2015·Investigative Ophthalmology & Visual Science·John J ChenRandy H Kardon

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Citations

Jul 31, 2020·Cephalalgia : an International Journal of Headache·Dagmar BeierRigmor Højland Jensen
May 8, 2021·Clinical Neurology and Neurosurgery·William XuHelen V Danesh-Meyer
Aug 21, 2021·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Heather E MossGregory P Van Stavern

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