When should i be concerned about my iih papilledema? is there a certain sign or set of signs that mean i should see a dr. as soon as possible?

Persistent symptoms: These questions should be discussed with an ophthalmologist or neuro-ophthalmologist in person. Intermittent IIH papilledema is usually not a problem by itself: however, if the papilledema worsens or persists for a long duration, it can lead to vision loss. The usual symptom that is followed is vision: if vision becomes blurred or dark and does not improve, the doctor should be informed.

Pseudotumor cerebri: Anything change or loss in vision that you feel is new or significant or worsening of headache should prompt a visit for your ophthalmologist to evaluate with a check of your visual acuity, visual fields and appearance of your optic disks.