Neuro-Ophthalmology

Stabilising Vision Loss Through Specialist Neuro-Ophthalmic Intervention

Patient

37-year-old female, Ethiopia

Clinical Context

The patient presented with progressive vision impairment associated with optic nerve compression. Local evaluation identified an optic nerve pathology, but the underlying cause and definitive treatment plan were unclear.

Care Pathway

The case was reviewed by Indian neurosurgeons and ophthalmology specialists. Based on available imaging and clinical findings, a consensus recommendation was reached for definitive in-person evaluation, with potential intervention options including optic nerve sheath fenestration or cerebrospinal fluid diversion. A video consultation aligned diagnostic intent and treatment considerations with the patient, family, and Jivo Doctor Partner.

Treatment

Specialist evaluation in India, including advanced neuroimaging and visual assessment, confirmed raised intracranial pressure causing optic nerve compression. Thecoperitoneal shunt placement with an adjustable valve was selected as the definitive intervention and performed.

Outcome and Continuity

Optic nerve pressure was relieved, and visual function stabilised. Ongoing follow-up continued under Jivo Doctor Partner coordination with the treating neurosurgical team.

Case Insight

This case demonstrates how specialist consensus, precise neuro-ophthalmic diagnosis, and targeted surgical intervention can preserve vision in patients with raised intracranial pressure when local treatment pathways are indeterminate.

Doctor-led. Protocol-driven. Jivo.

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