Cilioretinal Artery Occlusion: A Rare Complication of Severe Papilledema (.pdf)

Central vision loss in the setting of papilledema can result from optic neuropathy, macular pathology (e.g., subretinal fluid, choroidal folds), or a combination of optic neuropathy and macular pathology. The central vision loss is largely reversible when due to macular pathology, whereas it is not reversible when due to optic neuropathy. We report 3 patients who developed irreversible central vision loss due to cilioretinal artery occlusion associated with severe papilledema in the setting of idiopathic intracranial hypertension (IIH).