Papilledema in an HIV-positive patient

Abstract

A 45-year-old man with human immunodeficiency virus infection presented to the Emergency Department from the Ophthalmology Clinic with bilateral papilledema. He reported frontal headaches for the previous month and intermittent bilateral eye redness. At an outside clinic, he had recently been given an unspecified antibiotic ophthalmic solution that he used without relief. He also noted a decrease in his visual acuity during this time despite the use of new prescription glasses. The patient denied nausea, vomiting, neck stiffness, fevers, chills, sinus congestion, molar pain, numbness, weakness, change in personality, weight loss, or night sweats.