Original Articles
To assess the characteristics of individuals with disc edema/papilledema and their presenting symptoms | |
Dr. Mujahid Islam | |
Background: Disc edema, also known as papilledema when associated with increased intracranial pressure, is a critical ophthalmologic finding that can signal a range of underlying systemic and neurological conditions. Material & Methods: The present study is a non randomized prospective case series being conducted in Department of Ophthalmology. All the patients with disc edema/papilledema. Proven case of disc edema and Proven case of papilledema were included in this study. Cases of pseudopapilledema were excluded from the study. Results: Most commonly affected age group was between 21-30 years in which 32% case were observed, least common affected age group was 51-60 years in which 6% case were observed. In this study 42% affected were males and 58% females. In this study 70% cases of bilateral (papilloedema) and 30% case of unilateral disc edema were observed. In this study out of 50 patient, 30% patient were of local cause in which 22% cases were of optic neuropathy followed by 6% cases of AION in age group of 51-60 year followed by 2% cases of BRAO in age group of 41-40 years. In this study out of 50 patient, 24% cases of ICSOL in systemic causes followed by 12% cases of meningitis, 10% cases of malignant hypertension, 8% cases of drug history, 6% cases of malaria and 2% case each of diabetes, pseudotumorcerebri, anaemia , encephalopathy and head injury. Most common presenting complaint was headache in 70 % cases followed by DOV in 50 % cases , nausea and vomiting in 48 % cases , LR palsy and Diplopia in 4 % cases. Conclusion: Because ophthalmoscopic evaluation and subjective grading of papilledema can show significant variability among observers and requires specialized clinical expertise, the estimate of ONH shape and quantification of optic disc swelling from stereo fundus photographs by three-dimensional (3-D) image analysis methodology may improve reproducibility and reliability of the assessment of papilledema and thus improve clinical decision-making regarding its diagnosis and treatment. |
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