A study of the causes of bilateral optic disc swelling in Japanese patients.
| Autor: | Iijima K; Department of Ophthalmology, Kitasato University, Kanagawa, Japan., Shimizu K; Department of Ophthalmology, Kitasato University, Kanagawa, Japan., Ichibe Y; Department of Ophthalmology, Kitasato University, Kanagawa, Japan. |
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| Jazyk: | angličtina |
| Zdroj: | Clinical ophthalmology (Auckland, N.Z.) [Clin Ophthalmol] 2014 Jul 08; Vol. 8, pp. 1269-74. Date of Electronic Publication: 2014 Jul 08 (Print Publication: 2014). |
| DOI: | 10.2147/OPTH.S61650 |
| Abstrakt: | Purpose: To investigate the etiology of bilateral disc swelling in Japanese. Methods: Using Kitasato University's Department of Neuro-Ophthalmology medical records and fundus photographs of the period December 1977 through November 2010, we retrospectively identified 121 outpatients who had been initially confirmed with bilateral disc swelling. Results: The most common cause of the bilateral disc swelling was increased intracranial pressure (ICP) (59%); followed by pseudopapillitis (16%); uveitis (8%); hypertensive retinopathy (5%); bilateral optic neuritis, acute disseminated encephalomyelitis (ADEM) and optic disc drusen (all at 2% each); and leukemia (1%). Unknown etiology accounted for 6% of the cases. Conclusion: Although increased ICP is the most common etiology for bilateral disc swelling, it can also be triggered by a variety of other causes. Pseudopapillitis is the most important progenitor of bilateral disc swelling in Japanese. |
| Databáze: | MEDLINE |
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