Under Pressure

Papilledema; Diminished visual acuityAn 81-year old female with papilledema. Previous history significant for diabetes, hypertension, hypercholesterolemia, and bilateral cataract extraction with intraocular lens implants.VA: Best-corrected, 20/300 OD, 20/70 OS; Color plates: 2/12 OD, 1/12 OS; Tonometry: 17 OD, 13 OS; Humphrey visual field test: Peripheral constriction OD, Central defect OSCT; MRIOsteitis deformans1. Chen, Rhee, Wallach, Avramides, Flores. Neurologic disturbances in Paget disease of bone: Response to calcitonin, Neurology, 29, 448-57, 1979. 2. Dabbs, Skjodt. Prevalence of angioid streaks and other ocular complications of Paget's disease of bone, British Journal of Ophthalmology, 74, 579-82, 1990. 3. Eretto, Krohel, Shihab, Wallach, Hay. Optic Neuropathy in Paget's Disease, American Journal of Ophthalmology, 97, 505-10, 1984. 4. Isasi, Sanz, Hijos, Vaquero, Sacuedo, Andreu. Successful treatment of optic neuropathy in osteitis deformans, Rheumatology, 41, 948-50, 2002. 5. Kristensen. Ocular Manifestations in Paget's Disease (Osteitis Deformans), Acta Ophthalmologica, 49, 741-6, 1971