Optic Disc Edema/Papilledema: A Clinical Profile

Solanki, Deepshikha; Meena, Vandana; Sharma, Unnati; Agrawal, Sanjeev

doi:10.14260/jemds/2016/184

Cited by 4 publications

(4 citation statements)

References 11 publications

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“…However, the study conducted by Solanki et al . [ 9 ] reported an M: F ratio of 3:4.1 with a female preponderance (56.2%).…”

Section: Discussionmentioning

confidence: 99%

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An optical coherence study on optic disc parameters and peripapillary retinal nerve fiber layer thickness in patients with optic disc edema

Srija,

Pattnaik,

Mishra

et al. 2023

Indian Journal of Ophthalmology

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Purpose: This study aimed at evaluation of patients diagnosed with optic disc edema (ODE) in terms of demographics, etiology, clinical presentation, and optical coherence tomography parameters. Methods: An observational cross-sectional study was conducted from August 2021 to July 2022. Patients diagnosed with ODE underwent comprehensive ophthalmic evaluation. Peripapillary retinal nerve fiber layer (RNFL) thickness and optic nerve head parameters were assessed using optical coherence tomography. Radiologic investigations were done as deemed necessary. Results: One hundred and forty-eight eyes with ODE (134 eyes from 67 patients with bilateral ODE and 14 eyes from 14 patients with unilateral ODE) and 148 eyes of age- and gender-matched control group were included in the study. The mean age of the study population was 31.51 ± 13.33 years, with 44 (54.3%) males and 37 (45.6%) females. Bilateral ODE was seen in 82.7% of patients. Idiopathic intracranial hypertension was the most common cause of bilateral ODE, and nonarteritic anterior ischemic optic neuropathy was the most common cause of unilateral presentation. Decreased vision and headache were the main symptoms reported by a majority of patients. Peripapillary RNFL thickness was significantly increased in the ODE group compared to controls. Conclusion: The current study provides the clinical profile and optic disc and RNFL measurements of ODE patients in an Eastern Indian population. Detailed history and careful evaluation are necessary, as the treatment strategy is highly dependent on the underlying etiologies.

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“…However, the study conducted by Solanki et al . [ 9 ] reported an M: F ratio of 3:4.1 with a female preponderance (56.2%).…”

Section: Discussionmentioning

confidence: 99%

“…[ 10 11 12 ] In contrast, ICSOL was the most common cause of bilateral disc edema in the studies by Solanki et al . [ 9 ] and Vaidya et al . [ 6 ] Five patients with unilateral ODE who were blind had CRVO, nonarteritic AION, and optic neuritis as the respective etiology.…”

Section: Discussionmentioning

confidence: 99%

An optical coherence study on optic disc parameters and peripapillary retinal nerve fiber layer thickness in patients with optic disc edema

Srija,

Pattnaik,

Mishra

et al. 2023

Indian Journal of Ophthalmology

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“…17 Findings of the neuroimaging showed that majority of the patients (70.65%) were suffering from non-space occupying lesions. However, the study of Solanki et al 7 reported that one third of the patients with optic disc edema had non-space occupying lesions. The dissimilarity might be due the fact that their study was conducted in a multidisciplinary hospital and many of their study subjects were referred from the department of neuro-surgery where most of the patients were clinically diagnosed as intracranial space occupying lesion.…”

Section: Methodosmentioning

confidence: 97%

Clinical Profile of Patients with Bilateral Optic Disc Swelling Attending in an Apex Eye Hospital in Bangladesh

Rahat

Sarkar

Hossain

et al. 2022

J. Natl. Inst. Ophthalmol

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Background: Patient with optic disc swelling demands thorough ophthalmic as well as systemic evaluation as it may reflect intraocular as well as systemic diseases. Early diagnosis and proper management of bilateral disc swelling is important, as it can save vision as well as life. This study is aimed to determine the socio-demographic and clinical profile of patients with bilateral optic disc swelling in a tertiary eye hospital of Bangladesh. Methods: This cross sectional study had been conducted over 102 patients with bilateral disc swelling at the Neuroophthalmology clinic of National institute of ophthalmology and Hospital, Dhaka between April 2019 and March 2020. Patients were selected purposively based on specific selection criteria. Detail history was taken, ocular examinations like visual acuity, color vision, field of vision, pupillary light reaction, fundus examination were done and relevant investigations included color fundus photograph, visual field analysis, Computed tomography scans and Magnetic Resonance Imaging were performed. All the information’s were recorded in a pre-designed data collection sheet. Results: The mean age of the patients was 30.2±10.8 years where 37.3% patients were from 18-27 year age group. Females (67.7%) were commonly presented with bilateral disc swelling than male (33.3%). Most of the patients commonly presented with the symptoms like headache (71.6%), dimness of vision (62.8%), nausea & vomiting (42.2%), ocular pain (21.6%) etc. Best corrected visual acuity of the study population was within 0-0.3 log MAR unit in the right eye in 55.9% cases and in the left eye in 59.8% cases. Majority of the patients (Right eye: 60.8%, Left eye: 63.7%) could read all plates while color vision assessment. About 20% patient had RAPD. About 17% patients had field defect in their right eyes whereas about 15% had visual filed defect in left eyes. Other than disc swelling, 14 patients had diplopia (13.7%), 12 patients had uveitis (11.8%). Out of 102 patients, 36 patients were clinically diagnosed as IIH (35.3%). Others were diagnosed as ICSOL (24.5%), bilateral optic neuritis (12.7%), VKH (12.7%), grade-IV hypertensive retinopathy (8.8%). The analysis of neuro imaging findings among the patients showed 72 patients (70.6%) had no space occupying lesions, 9 patients (8.8%) had meningioma, 6 patients had CP angle tumor (5.9%), 5 patients had empty sella (4.9%). Conclusions: Most of the Bangladeshi patients with bilateral disc swelling report to neuro-ophthalmology clinic in NIO&H are female and belong to 18-37 years age group. Among them headache is the most common presenting complaint and IIH is the most common clinical diagnosis. J. Natl. Inst. Ophthalmol. 2022;5(1):39-45

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“…A prospective study on disc oedema was done by Solanki et al 5 50 patients in which 42% and 58% were male and female respectively were enrolled for their study. Age group which was affected most commonly 11-20 years.…”

Section: Pathogenesismentioning

confidence: 99%

Presentation and causes of optic disc oedema at a tertiary centre in Rajasthan

Goyal

Nainiwal²,

Harsoliya³

et al. 2022

IJCEO

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The purpose of this study was to assess the causes of optic disc oedema and their systemic associations and to study the various clinical presentations of optic disc oedema.This is a retrospective observational study which was conducted at Department of Ophthalmology, JLN Medical College, Ajmer. All patients who reported to OPD with Optic disc oedema during the study period (February2020 to August 2021) were evaluated. Complete ophthalmic examination included visual acuity, anterior segment examination using slit lamp, fundus examination using direct and indirect Ophthalmoscope and 90 Dioptre lens, B-scan for optic nerve sheath diameter (ONSD) and OCT for retinal nerve fibre layer thickness (RNFL) measurement. fundus photography was also done. Investigations like complete blood test, Visual field testing using perimetry, computed tomography scan and magnetic resonance imaging were done as and when indicated. Total 80 optic disc oedema cases were included in our study. Out of 80 cases, 44(55%) and 36(45%) were males and females respectively. Different causes of optic disc oedema were found to be papilloedema 48 cases (60%), optic neuritis 13 cases (16.25%), NA-AION 9 cases (11.25%), CRVO 3 cases (3.75%), diabetic papillopathy 2 cases (2.5%), traumatic optic neuropathy 2 cases (2.5%) respectively. In 3 cases (3.75%) cause could not be detected (idiopathic). The most common cause was papilloedema, followed by optic neuritis and NA- AION

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Optic Disc Edema/Papilledema: A Clinical Profile

Cited by 4 publications

References 11 publications

An optical coherence study on optic disc parameters and peripapillary retinal nerve fiber layer thickness in patients with optic disc edema

An optical coherence study on optic disc parameters and peripapillary retinal nerve fiber layer thickness in patients with optic disc edema

Clinical Profile of Patients with Bilateral Optic Disc Swelling Attending in an Apex Eye Hospital in Bangladesh

Presentation and causes of optic disc oedema at a tertiary centre in Rajasthan

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