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IJV ligation should be considered as a treatment only for venous hum and only after careful exclusion of benign intracranial hypertension or other causes of raised intracranial pressure.
A condition such as Benign Intracranial Hypertension is rare but, left untreated, it will just continue to damage the back of the eye and threaten your sight.
Zane noted that neuro-ophthalmologic recommendations call for discontinuation of isotretinoin and a work-up for intracranial hypertension in patients who develop headache or unexplained blurred vision, along with avoidance of concomitant vitamin A, as well as tetracycline and other medications associated with benign intracranial hypertension.
There were three adolescents who did report visual adverse events, which are not mentioned in the Ortho Tri-Cyclen product label: a 14-year-old patient also on oxcarbazepine who was reported to have papilledema and cluster headache; a 16-year old patient also on doxycycline and tretinoin, who experienced scotoma, blurred vision, headache and influenza-like illness; and a 16-year old patient also on isotretinoin and prednisone, who had a visual-field defect, in addition to benign intracranial hypertension and increased cerebrospinal fluid pressure.

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