In Pseudotumor Cerebri, Hormonal Contraception is Not Associated, and the Diagnosis Remains Idiopathic Intracranial Hypertension

Abstract

We congratulate Kilgore and associates 1 Kilgore K.P. Lee M.S. Leavitt J.A. Frank R.D. McClelland C.M. Chen J.J. A population-based, case-control evaluation of the association between hormonal contraceptives and idiopathic intracranial hypertension. Am J Ophthalmol. 2019; 197: 74-79 Abstract Full Text Full Text PDF PubMed Scopus (10) Google Scholar on their retrospective, population-based, case-control study that showed that hormonal contraceptives, particularly the oral contraceptive pill (OCP), are not associated with idiopathic intracranial hypertension (IIH). This means that obese young women who are losing visual acuity and visual field because of IIH do not need to abstain from the OCP as an effective and safe method of contraception. A Population-Based, Case-Control Evaluation of the Association Between Hormonal Contraceptives and Idiopathic Intracranial HypertensionAmerican Journal of OphthalmologyVol. 197PreviewTo determine if the use of oral contraceptive pills (OCP) and other hormonal contraceptives are associated with a higher incidence of idiopathic intracranial hypertension (IIH). Full-Text PDF Response to Correspondence “In Pseudotumor cerebri, hormonal contraception is not associated, and the diagnosis remains as ‘Idiopathic Intracranial Hypertension’”American Journal of OphthalmologyVol. 203PreviewWe thank Drs Lee and Francis for their comments. We agree that the diagnosis of idiopathic intracranial hypertension (IIH) should be reserved for conditions of intracranial hypertension (ICH) without a known etiology after sufficient investigation. Full-Text PDF