The patient was then seen by an ophthalmologist who documented optic disc swelling secondary to increased intracranial pressure and flame retinal hemorrhages. The ophthalmologist referred the patient to a neurologist with the presumptive diagnosis of pseudotumor cerebri (IIH). The neurologist ordered a lumbar puncture which revealed an opening pressure greater than 50. The neurologist managed the patient with Acetazolamide. Over the span of a month, the patient’s vision deteriorated to blindness during which time, the patient was never referred to a neurosurgeon. When the patient was finally referred to a neurosurgeon, an emergency lumboperitoneal shunt was performed. However, by then, the patient had lost all vision in one eye. An expert neuro-ophthalmologist to review the records and opine on the standard of care and causality.