Asymptomatic papilledema

Abstract

A previously healthy 27 year-old male patient arrived at the Ophthalmology Services referring he had had intermittent vision floaters in the left eye during the last three months, without any other accompanying symptoms. He underwent an ophthalmologic physical examination that included visual acuity with Snellen test, an applanation tonometry, a slit-lamp biomicroscopy, a direct and indirect opthalmoscopy and the test of Ishihara. Vision of 20/20 was verified in both eyes and an intraocular pressure of 19 mm Hg in both eyes. There was no alteration in the vision of colors and no alteration was found in the anterior segment. A bilateral papilledema was diagnosed by means of a fundoscopy. The patient was referred to neurosurgery consultation where the presence of an intraventricular cyst was diagnosed by means of a cranial CT scan, being necessary a surgical treatment. After surgery the papilledema disappeared and the patient recovered satisfactorily.

Keywords

• papiledema/diagnóstico
• quistes del sistema nervioso central/cirugía
• tomografia computarizada por rayos x