{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T06:10:49Z","timestamp":1792649449898,"version":"4.5.0"},"reference-count":23,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,6,20]],"date-time":"2022-06-20T00:00:00Z","timestamp":1655683200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Ophthalmol."],"abstract":"<jats:p>Idiopathic intracranial hypertension (IIH) has an increasing incidence worldwide over the past decade, with a high economic burden on patients and society. Up to 10% of patients with IIH have progressive visual decline requiring an invasive intervention (including cerebrospinal fluid shunting, cerebral dural sinus stenting, or optic nerve sheath fenestration [ONSF]). IIH patients with visual decline usually undergo evaluation and initial management through the emergency department (ED) and commonly have a long hospital stay due to the lack of a dedicated methodology for evaluation and management, particularly in patients who present with visual loss (i.e., fulminant IIH). An innovative practice approach is needed to improve the means of multidisciplinary communication in care and evaluation of IIH patients. This paper aims to discuss the need for the development and implementation of a multidisciplinary \u201cfast-track\u201d strategy for the evaluation and management of patients with fulminant IIH or those with a suboptimal response to maximum tolerated medical treatment at risk for visual loss. We suggest that such a program could reduce hospital stay and ED visits and therefore reduce healthcare costs and improve patient outcomes by accelerating the management process.<\/jats:p>","DOI":"10.3389\/fopht.2022.923092","type":"journal-article","created":{"date-parts":[[2022,6,20]],"date-time":"2022-06-20T21:48:23Z","timestamp":1655761703000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Developing a \u201cFast-Track\u201d Strategy for Interventional Management of Patients With Idiopathic Intracranial Hypertension"],"prefix":"10.3389","volume":"2","author":[{"given":"Shahnaz","family":"Miri","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhay","family":"Moghekar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew R.","family":"Carey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phillipe","family":"Gailloud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil R.","family":"Miller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,6,20]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"697","DOI":"10.1016\/j.ophtha.2017.01.006","article-title":"Re-Evaluating the Incidence of Idiopathic Intracranial Hypertension in an Era of Increasing Obesity","volume":"124","author":"Kilgore","year":"2017","journal-title":"Ophthalmology"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1038\/s41433-018-0238-5","article-title":"The Expanding Burden of Idiopathic Intracranial Hypertension","volume":"33","author":"Mollan","year":"2019","journal-title":"Eye"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1097\/IIO.0b013e3182aabf11","article-title":"Epidemiology and Risk Factors for Idiopathic Intracranial Hypertension","volume":"54","author":"Chen","year":"2014","journal-title":"Int Ophthalmol Clin"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.3390\/life11050417","article-title":"Idiopathic Intracranial Hypertension: Evaluation of Admissions and Emergency Readmissions Through the Hospital Episode Statistic Dataset Between 2002-2020","volume":"11","author":"Mollan","year":"2021","journal-title":"Life"},{"key":"B5","doi-asserted-by":"publisher","first-page":"e372","DOI":"10.1111\/j.1467-789x.2010.00799.x","article-title":"Idiopathic Intracranial Hypertension in the USA: The Role of Obesity in Establishing Prevalence and Healthcare Costs","author":"Friesner","year":"2011","journal-title":"In Obes Rev"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.4103\/0259-1162.134474","article-title":"Fast-Track Surgery: Toward Comprehensive Peri-Operative Care","volume":"8","author":"Nanavati","year":"2014","journal-title":"Anesth Essays Res"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp-2017-317440","article-title":"Idiopathic Intracranial Hypertension: Consensus Guidelines on Management","volume":"89","author":"Mollan","year":"2018","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"B8","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1007\/s11910-020-1026-8","article-title":"Fulminant Idiopathic Intracranial Hypertension","volume":"20","author":"Bouffard","year":"2020","journal-title":"Curr Neurol Neurosci Rep"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.2147\/EB.S193027","article-title":"Exploring The Current Management Idiopathic Intracranial Hypertension, And Understanding The Role Of Dural Venous Sinus Stenting","volume":"12","author":"Gurney","year":"2020","journal-title":"Eye Brain"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A4377","article-title":"Meta-Analysis of CSF Diversion Procedures and Dural Venous Sinus Stenting in the Setting of Medically Refractory Idiopathic Intracranial Hypertension","volume":"36","author":"Satti","year":"2015","journal-title":"AJNR. 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