An analysis of clinical presentations and etiology of optic disc oedema

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Original Article

Author Details : Isha K. Patel*, Trupti M Solu, Yash R. Gandhi, Shivranjani S. Balraj

Volume : 6, Issue : 1, Year : 2020

Article Page : 29-32

https://doi.org/10.18231/j.ijooo.2020.006

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Abstract

Introduction: This study was performed to evaluate the various etiologies and clinical presentations in
patients of optic disc oedema.
Materials and Methods : This study was a cross sectional observational study which was carried out
at Government Medical College Surat, a tertiary care center of South Gujarat, during the period from
December 2018 to January 2020. A detailed history was taken to determine the presenting symptoms for
the disease. Detailed and thorough ocular examination was performed to each and every patient included
in the study which comprised of Acuity of vision, Color Vision, reaction of pupil, Examination on slit
lamp, Examination of fundus with Indirect Ophthalmoscopy and 78D lens with Fundus photography. Blood
investigations, OCT, Visual field testing and MRI was performed when required.
Results : 50 consecutive cases of optic disc oedema presented at tertiary care center were included in this
study. Amongst them 29 were male and 21 females. Amongst this 50 patients 23 patients had optic neuritis,
10 patients had papilloedema, 4 patients had grade 4 hypertensive retinopathy, 3 patients had anterior
ischemic optic neuropathy (AION), 3 patients had neuroretinitis, 2 patients had diabetic papillopathy,2
patients had central retinal vein occlusion, 2 patients had traumatic optic neuropathy and 1 patient had
Vogt Koyanagi Harada syndrome. On evaluation it was found that 46% patients had optic neuritis, 20%
patients had papilloedema, 8% patients had grade 4 hypertensive retinopathy, 6% patients had anterior
ischemic optic neuropathy (AION), 6% patients had neuroretinitis, 4% patients had diabetic papillopathy,
4% patients had central retinal vein occlusion, 4% patients had traumatic optic neuropathy and 2% patient
had Vogt Koyanagi Harada syndrome. Patients presented to us with most common complaint of dimness of
vision (62%) followed by headache (36%), eye ache (26%), floaters (4%) and bilateral diplopia (2%).
Conclusion: In this study, Optic neuritis was the most common etiology and dimness of vision was the
most common presenting symptom in cases of optic disc swelling.

Keywords: Optic disc swelling, Papilloedema, Optic neuritis, Dimness of vision, Headache.

How to cite : Patel I K, Solu T M, Gandhi Y R, Balraj S S, An analysis of clinical presentations and etiology of optic disc oedema. IP Int J Ocul Oncol Oculoplasty 2020;6(1):29-32

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