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Optic Nerve Head Edema in a Healthy Man in His 20s

Educational Objective
Based on this clinical scenario and the accompanying image, understand how to arrive at a correct diagnosis.
1 Credit CME

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Article Information

Corresponding Author: Peter W. MacIntosh, MD, Illinois Eye and Ear Infirmary, University of Illinois at Chicago, 1855 W Taylor St, Chicago, IL 60612 (pmacint1@uic.edu).

Published Online: January 31, 2019. doi:10.1001/jamaophthalmol.2018.5902

Conflict of Interest Disclosures: Dr Zahid reported serving as a consultant for Allergan outside the submitted work. No other disclosures were reported.

Additional Contributions: We thank the patient for granting permission to publish this information.

References
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Abbasi  HN, Brady  AJ, Cooper  SA.  Fulminant idiopathic intracranial hypertension with malignant systemic hypertension—a case report.  Neuroophthalmology. 2013;37(3):120-123. doi:10.3109/01658107.2013.785573PubMedGoogle ScholarCrossref
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Hayreh  SS.  Duke-elder lecture: systemic arterial blood pressure and the eye.  Eye (Lond). 1996;10(pt 1):5-28. doi:10.1038/eye.1996.3PubMedGoogle ScholarCrossref
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Corbett  JJ, Savino  PJ, Thompson  HS,  et al.  Visual loss in pseudotumor cerebri: follow-up of 57 patients from five to 41 years and a profile of 14 patients with permanent severe visual loss.  Arch Neurol. 1982;39(8):461-474. doi:10.1001/archneur.1982.00510200003001PubMedGoogle ScholarCrossref
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