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Emergency evaluation for possible papilloedema
  1. Andrew Micieli1,
  2. Jonathan A Micieli1,2,3,4
  1. 1 Division of Neurology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada
  2. 2 Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada
  3. 3 Kensington Vision and Research Centre, Toronto, Ontario, Canada
  4. 4 Department of Ophthalmology, St Michael’s Hospital, Toronto Western Hospital, Toronto, Ontario, Canada
  1. Correspondence to Dr Jonathan A Micieli, Kensington Eye Institute, Toronto, ON M5T 3A9, Canada; jonathanmicieli{at}

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Clinical introduction

A 25-year-old woman presented to the emergency room for an urgent evaluation after she was noted to have possible bilateral optic disc oedema by her optometrist. She went to see this optometrist to update her glasses prescription. She denied headaches, nausea, vision changes or any other neurological symptoms. Visual acuity was 20/20 in both eyes and confrontation visual fields were full. Funduscopic examination and a CT scan of the head were performed to rule out an intracranial mass and …

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