A case series of bilateral optic disc oedema
Journal Title: Perspectives In Medical Research - Year 2014, Vol 2, Issue 3
Abstract
Introduction: The terms papilloedema has been reserved for the passive disc swelling associated with increased intracranial pressure which is almost always bilateral although it may be asymmetrical. Materials and Methods: 9 cases of bilateral disc oedema presented to the department of ophthalmology, Prathima Institute of Medical Sciences, Karimnagar from June 2013 to January 2014 were included in the study. Comprehensive eye examination was done. Fundus examination was done by slit lamp biomicroscopy with 90 D lens. All the patients were systemically evaluated. Radiological investigation like MRI scan of the brain was done and the diagnosis was established and treated accordingly. Results:A total 9 cases were diagnosed with bilateral disc oedema. Of the 9 cases, 6 were females and 3 males; age range was between 19-55 years. Most of the patients had good visual acuity at presentation. The most common complaint was headache associated with blurring of vision. Of the 9 cases, 3 patients diagnosed as idiopathic intracranial hypertension, 1 each was diagnosed as malignant hypertension, pituitary adenoma and craniopharyngioma. Two cases were diagnosed as cavernous venous sinus thrombosis and one was diagnosed as optic neuritis. Conclusion: It is important to evaluate fundus in each and every case presenting with headache and transient visual obscuration to rule out any underlying cause of raised intracranial pressure.
Authors and Affiliations
Arvind Rathod
Keywords
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