In this segment of the 2013 Neuro-Ophthalmology Subspecialty Day series on recognizing distinctive neuro-ophthalmic symptoms, signs, and tests, Michael Vaphiades presents to panelists Anthony Arnold, Lanning Kline, Mark Kupersmith, and Valerie Purvin the case of a 35-year-old woman presents with a 15-year history of idiopathic intracranial hypertension. She has lost 7 pounds since the diagnosis was made and she refused other treatments, including medications or surgical intervention.