Case Presentation A 46-year-old obese female with a history of hypertension and chronic dizziness presented to the ophthalmology outpatient clinic with bilateral visual acuity deterioration persisting for six months. She reported a recent rapid weight gain of 30 kg over the past three months.
The vision decline was gradual and not associated with pain or other neurological symptoms. Initial Examination Alert and oriented to time, place, and person Fundus examination: Bilateral optic disc edema with obliterated borders (Figure 1) Intraocular pressure: 20 mmHg (right), 19 mmHg (left) Optical coherence tomography: Confirmed bilateral optic disc swelling Neurological examination: Unremarkable Systemic review: Significant for obesity and well-controlled hypertension Figure 1: Optical coherence tomography of the optic nerve disc of the right eye before treatment Investigations Neuroimaging CT…
