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Editor,—Haemorrhage into the various spaces and potential spaces of the eye is a not uncommon finding in idiopathic intracranial hypertension (IIH), especially nerve fibre layer haemorrhages, a nearly constant feature of fully developed papilloedema. Less frequently reported are vitreous, subhyaloid, and subretinal haemorrhages. We present a patient with bilateral peripapillary subretinal haemorrhages as the prominent manifestation of IIH, whose haemorrhages resolved as her IIH improved.
CASE REPORT
A 41 year old obese woman was evaluated because of an unusual optic disc appearance bilaterally. One year before evaluation, she developed severe, diffuse headaches which would wake her from sleep. There were no associated visual symptoms. Brain computed tomography (CT) was normal. The headaches resolved spontaneously, only to recur months later, this time accompanied by blurred vision. She was seen by an optometrist, who noted “retinal bleeding”.
On examination she was obese but appeared well with a blood pressure of 130/90. Corrected …