Post papilledema atrophy with marked gliosis in a patient with pseudotumor. Nasal ovoid absence of the retinal pigment epithelium. Presumably a defect from the long standing papilledema. 1985,. Right eye, pair with ID_4a. Anatomy: Optic disc. Pathology: Post papilledema atrophy and gliosis from long standing elevated intracranial pressure. Disease/ Diagnosis: Pseudotumor cerebri and idiopathic intracranial hypertension. Clinical: Bilateral visual loss