1) Papilledema resolved in all 10 patients.

2) If papilledema is obsered by funduscopy during somatropin treatment, treatment should be discontinued.

3) This paper also introduces the optic nerve sheath decompression as a treatment of papilledema, including its indications, technique, effects and complications.

4) The investigators found visual acuity, visual field loss, and degree of papilledema at presentation and follow-up was worse in black patients.

5) METHODS: Ocular manifestations and the relationship between intracranial pressure and papilledema were analyzed retrospectively in 20 patients diagnosed as CNM by etiology.