BMJ Case Reports 2011; doi:10.1136/bcr.05.2010.3030
  • Reminder of important clinical lesson

Ockham's razor revisited: decreased visual acuity secondary to keratoconus in a patient with intracranial hypertension

  1. John Grigg1,2
  1. 1Sydney Eye Hospital, Sydney, New South Wales, Australia
  2. 2Discipline of Clinical Ophthalmology and Eye Health, The University of Sydney Medical School, Save Sight Institute, Sydney, New South Wales, Australia
  3. 3Concord Repatriation General Hospital, Sydney, New South Wales, Australia
  4. 4Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia
  1. Correspondence to Dr Adrian T Fung, adrianfungi{at}


Both intracranial hypertension and keratoconus may be associated with visual impairment. The authors present a case of a young female with poor right vision that did not improve despite treatment of her intracranial hypertension. Ophthalmic consultation diagnosed keratoconus as the cause.


  • Competing interests None.

  • Patient consent Not obtained.

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