Micieli JA, et al. - Authors ascertained if optic disc appearance at presentation predicts visual outcome in patients with idiopathic intracranial hypertension (IIH). They conducted a retrospective study of 708 eyes of 360 consecutive patients with IIH who had baseline optic disc photographs before or within 30 days of their diagnostic lumbar puncture and initiation of medical treatment. For final visual function in IIH when controlling for the severity of papilloedema, optic disc haemorrhages (ODH) and cotton wool spots (CWS) at baseline are not independent predictors. Findings suggested an association of frisén grade with worse visual function at presentation and final follow-up. At final follow-up when controlling for the Frisén grade, neither ODH nor CWS at presentation were associated with visual function.