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Figure 1. A 21-year-old woman presented with a two-month history of gradual loss of vision in both eyes and increasing headaches. A ventriculoperitoneal shunt had been inserted when she was one year old. Funduscopic examination demonstrated marked papilledema, with retinal hemorrhages, retinal edema, and the deposition of exudate in a star formation in the macula of both eyes (Panels A and B). Visual acuity was 20/400 in the right eye and was limited to counting fingers from a distance of 0.6 m (2 ft) in the left eye. Investigation revealed that the shunt was blocked. Repair of the shunt . . . [Full Text of this Article] |
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