Abstract Issue

Volume 11 Issue 2 (April-June) 2022

Original Articles

Ophthalmological manifestations and clinical features of idiopathic intracranial hypertension in adults at a tertiary care center in Rajasthan, India: A cross-sectional study
Dr. Shilpi Kochar, Dr. Abhishek Kochar

Purpose: The study aimed at describing the ophthalmological manifestations of patients with idiopathic intracranial hypertension (IIH) and corelate severity of papilledema with cerebrospinal fluid (CSF) opening pressure. Methods: This was a prospective cross-sectional study. Patients aged 20-60 years using modified Dandy criteria diagnosed with IIH were included. Demographic details, ocular symptoms and signs were noted and papilledema graded. Investigations included Visual field analysis and CSF opening pressures were noted. Results: The study included 20 patients of average age 35.64 (± 7.87) years with a predominantly female population (95%). Mean BMI was 34.76 kg/m2(±5.32) kg/m2. Common presenting complaint was headache (87.5%). The most common biochemical abnormality was Vitamin D deficiency (45%). The visual status of most patients was 6/6 BCVA on Snellen’s Chart (60%). Lateral rectus palsy was present in 15%. Papilledema was present in 85 % eyes with 30% showing Grade I papilledema. There was visual field loss in 52.5% of study eyes. Mean CSF opening pressure was 292.51(±114.47) mmH2O. MRI showed empty sella (35%) and tortuous optic nerve ( 20%) empty sella (34.4%). MRV elucidated most frequent abnormality as transverse sinus stenosis. No correlation was seen between CSF opening pressure and grade of papilledema and severity of VF defect or BMI. Conclusion: Clinical profile of patients with IIH was a female with high BMI of reproductive age with headache. Visual field examinations are important tool for planning follow-up.

 
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