Acute Vision Loss: Aetiology, Clinical Profile and Prognosis
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 10
Abstract
Vision is one of the essential and important senses of human body. Loss of vision leaves a significant handicap in a person and so it compels the treating physician to analyse and find the potentially treatable cause for this visual deficit. This study focuses on the non-traumatic causes of acute vision loss which are admitted in medical or ophthalmological wards. Total 106 patients with vision loss were examined and 40 patients out of them participated by serial recruitment in this study and they underwent various investigations and treatment with the purpose to study different aetiologies of vision loss, their clinical profiles and outcomes of the treatment they received. There were 17 females and 23 males in the study. Females were observed to be affected in the age group of 12-40 year and males in 41-60 years. Hypertension and diabetes were the most common pre-morbidities in these patients. Optic neuritis was observed to be the most common cause of acute vision loss followed by cerebrovascular accidents. Steroids were the most commonly used drug followed by antihypertensives. All patients except acute visual loss due to cerebrovascular accidents showed improvement. Patients with retinal arterial occlusions also showed very poor prognosis. Table 2 shows pain was the most common associated symptom with acute vision loss. 16 patients presented with associated pain, 8 with lacrimation and 3 with redness of eyes. Table 3 shows the number of patients presenting with monocular involvement and binocular involvement was almost similar i.e. 21 and 19 respectively. Table 4 shows out of 40 patients 33 underwent neuroimaging, either CT or MRI scans. The various diagnoses found on these studies are as depicted in the table below. Table 5 shows treatment used for various diagnoses were Corticosteroids, antihypertensives, central dehydrants, immunosuppressants and surgery.
Authors and Affiliations
Dhananjay Ogale, Swati Chavan
Keywords
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