Analysis of the Causes of Optic Disc Swelling
Korean Journal of Ophthalmology
; : 33-36, 2011.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-121940
Responsible library:
WPRO
ABSTRACT
PURPOSE:
To investigate the clinical manifestations and diagnoses of optic disc swelling.METHODS:
The medical records of 49 patients who experienced optic disc swelling between March 2008 and June 2009 were retrospectively reviewed. The characteristics of non-arteritic anterior ischemic optic neuropathy (NA-AION) and optic neuritis (ON), which showed optic disc swelling most commonly, were compared.RESULTS:
NA-AION was the most common disorder (34.7%) that presented with optic disc swelling. ON was identified in 15 patients (30.6%). Seven out of 49 patients (14.3%) had intracranially associated diseases, such as papilledema and compressive optic neuropathy. Pseudopapilledema was noted in four patients (8.2%). Other diseases (e.g., papillophlebitis, neuroretinitis, and diabetic papillopathy) were seen in six patients (12.2%). Ocular pain was observed more commonly in patients with ON (p = 0.001). Patients with ON expected a better visual prognosis than patients with NA-AION (0.12 +/- 0.32 vs. 0.49 +/- 0.35, p = 0.001).CONCLUSIONS:
NA-AION and ON should be considered in the differential diagnosis when patients with optic disc swelling present to the neuro-ophthalmology clinic. Detailed history taking and supportive examinations, such as visual field, color-vision and imaging tests, should also be performed as indicated. Regular follow-up of such exams is necessary for the differential diagnosis of these diseases.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Visual Fields
/
Optic Nerve Diseases
/
Optic Neuritis
/
Papilledema
/
Retrospective Studies
/
Optic Neuropathy, Ischemic
Type of study:
Etiology study
/
Observational study
/
Prognostic study
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
English
Journal:
Korean Journal of Ophthalmology
Year:
2011
Document type:
Article