Peripapillary microperimetry for the diagnosis and follow-up of papilledema in cases treated for idiopathic intracranial hypertension
| Autor: | Ashraf A. Nossair, Ayman G Elnahry, Nashwa Badr Eldin, Gehad A. Elnahry, Omar A Barrada, Amr M. Elemary |
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| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
Adult Male Optic nerve sheath medicine.medical_specialty Optic Disk 03 medical and health sciences 0302 clinical medicine Ophthalmology medicine Humans In patient Papilledema Pseudotumor Cerebri medicine.diagnostic_test Lumbar puncture business.industry General Medicine Middle Aged Ophthalmoscopy 030104 developmental biology Neurology Optic nerve Female Neurology (clinical) medicine.symptom Fenestration business Acetazolamide Microperimetry 030217 neurology & neurosurgery Tomography Optical Coherence medicine.drug |
| Zdroj: | Neurological research. 43(1) |
| ISSN: | 1743-1328 |
| Popis: | OBJECTIVES To evaluate the use of peripapillary microperimetry in the diagnosis and follow-up of medically and surgically treated cases of papilledema due to idiopathic intracranial hypertension (IIH). METHODS This study was a prospective non-comparative observational case series of patients with IIH. All patients underwent full ophthalmological examination, radiological imaging, and lumbar puncture, as well as microperimetric measurements around the optic nerve head. Patients were classified into a medical group, treated by weight reduction and acetazolamide, and a surgical group, treated by optic nerve sheath fenestration. Peripapillary microperimetric examinations were done at presentation and after one-month of treatment. Findings were compared to values obtained from an age-matched healthy control group. RESULTS The study included 78 eyes of 39 patients diagnosed with IIH and 32 eyes of 16 healthy control subjects. The average of the sum of the 12 peripapillary microperimetric thresholds for both eyes of IIH cases before treatment was 53.4±59.9 dB, while for controls it was 171±14.0 dB (p |
| Databáze: | OpenAIRE |
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