Abstract:
PURPOSE:To describe 2 adult patients who presented with papilledema after band atrophy (i.e., twin and triple peaks papilledema). DESIGN:Retrospective small case series. PARTICIPANTS:Two outpatients. METHODS:Observations made on 2 patients whose cases were reviewed in the neuro-ophthalmology clinic. RESULTS:The first patient had a pituitary tumor presenting with papilledema, causing a triple peaks clinical sign. Color photographs, optical coherence tomograms, and magnetic resonance images are shown. The second patient developed twin peaks papilledema due to a chiasmal glioma causing secondary raised intracranial pressure. CONCLUSION:Twin peaks papilledema is a rare clinical sign that may develop in adults as well as in children. The first report and optical coherence tomography features of triple peaks papilledema illustrate a new clinical sign.
journal_name
Ophthalmologyjournal_title
Ophthalmologyauthors
Mehta JS,Plant GT,Acheson JFdoi
10.1016/j.ophtha.2005.01.047subject
Has Abstractpub_date
2005-07-01 00:00:00pages
1299-301issue
7eissn
0161-6420issn
1549-4713pii
S0161-6420(05)00291-5journal_volume
112pub_type
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