CLINICAL PROFILE OF OPTIC NEUROPATHY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 24
Abstract
BACKGROUND Optic neuropathy is a frequent cause of vision loss encountered in clinical practice. It is important to diagnose and treat the condition in a timely manner to prevent visual disability. The diagnosis is made primarily on clinical grounds. A rapid onset is typical of demyelinating, inflammatory, ischaemic and traumatic causes. A gradual course points to compressive, toxic/ nutritional and hereditary causes. The aim of this study was to evaluate the clinical profile of Optic Neuropathy. MATERIALS AND METHODS All patients presenting to Osmania General Hospital with visual loss and those referred from Sarojini Devi Eye Hospital with optic neuropathy were included in the study. All these patients had already undergone ophthalmic examination, detailed clinical history, complete neurological examination, imaging and special investigations as required. RESULTS The highest incidence of optic neuropathies was seen in the age group of 21 - 30 years with female preponderance, presentations were unilateral bilateral simultaneously and sequentially. Painful vision loss was seen in 42% of cases. RAPD was seen in 21 patients on the whole in our study. Disc oedema and blurring with or without haemorrhages were seen in 19 (38%) patients. Most patients had an abnormal VEP in the form of either a delayed P100 or a reduced amplitude. The CSF proteins were increased in 22% of the patients and Oligoclonal bands were seen in 5 patients. Demyelination is the most common cause followed by ischaemia and other causes. CONCLUSION Optic neuritis was found to be the commonest cause of optic neuropathy in this study. A detailed clinical examination especially fundoscopy, imaging, CSF analysis are required to arrive at aetiology of optic neuropathy.
Authors and Affiliations
Ramesh Ramachandra, Deepthi Kiran, Kirthitheja Bommakanti, Nikhil Goli
Keywords
Related Articles
- EP ID EP450596
- DOI 10.14260/jemds/2018/649
- Views 77
- Downloads 0
OSSIFICATION OF TRANSVERSE SCAPULAR LIGAMENT
The scapula is a triangular, flattened bone. It extends from the second to the seventh rib in the posterolateral aspect of thorax. Its superior border extends between superior and lateral angles. The suprascapu...
TENSION FREE ONLAY VENTRAL HERNIA REPAIR BY POLYPROPYLENE MESH- A NEWER APPROACH
BACKGROUND Ventral Hernia repair remains one of the most commonly performed surgical procedure. Operations for ventral hernia were notorious, because of high failure rate. With continued improvement of the materials and...
INTRAVENOUS LABETALOL VERSUS ORAL NIFEDIPINE FOR ACUTE BLOOD PRESSURE CONTROL IN SEVERE PREGNANCY-INDUCED HYPERTENSION- A RANDOMISED TRIAL
BACKGROUND Hypertensive disorders of pregnancy complicate approximately 12% to 22% of all pregnancies. Various complications occur due to hypertensive disorder. Although delivery of the foetus is the definitive treatment...
PREVALENCE OF PERIODONTAL DISEASE IN WOMEN WITH POLYCYSTIC OVARY SYNDROME- A COMPARATIVE DESCRIPTIVE STUDY
BACKGROUND Polycystic ovary syndrome (PCOS) is a common disorder affecting 4% to 12% of women of reproductive age. Increased production of steroid hormones is associated with increased gingival inflammation. Thus, the pr...
POST DURAL PUNCTURE HEADACHE
Headache is a frequent complication of dural puncture, particularly with a large-bore needle. Clinical and laboratory research over the last 30 years has shown that use of small-gauge needles, particularly of...