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| OPHTHALMIC IMAGE |
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| Year : 2023 | Volume
: 3
| Issue : 1 | Page : 242 |
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Scleral bleb in malignant intracranial hypertension
Balaji Vaithialingam1, Abhishek Kotwal2
1 Departments of Neuroanesthesia and Neurocritical Care, National Institute of Mental Health and Neurosciences (NIMHANS), Karnataka, India
2 Neuroimaging and Interventional Radiology, National Institute of Mental Health and Neurosciences (NIMHANS), Karnataka, India
| Date of Web Publication | 20-Jan-2023 |
Correspondence Address:
Balaji Vaithialingam
No.12, Second Floor, Second Cross, Skanda Nivas, Gundappa Gowda Gardens, Ejipura Main Road, Viveknagar, Bengaluru - 560 047, Karnataka
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_1557_22
How to cite this article:
Vaithialingam B, Kotwal A. Scleral bleb in malignant intracranial hypertension. Indian J Ophthalmol Case Rep 2023;3:242 |
A 70-year-old female presented with severe headache and left eye pain. Ocular examination revealed proptosis of the left eye with dilated scleral veins. There was a rapid deterioration in the patient's vision and the repeat ocular examination on day 2 revealed the presence of a scleral bleb that contained clear fluid [Figure 1]a. A computed tomographic (CT) scan showed a large extra-axial mass lesion in the left anterior cranial fossa extending into the left orbit with a mass effect [Figure 1]b. The patient was immediately treated with intravenous mannitol and underwent emergency craniotomy and tumor decompression. The histopathological diagnosis was suggestive of meningioma. | Figure 1: (a) Left eye showing scleral bleb and proptosis due to raised intracranial pressure (b) CT scan of brain showing left sphenoid wing meningioma with orbital mass effect
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Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
[Figure 1]
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