| Analysis of the causes of optic disc swelling. | |
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MedLine Citation:
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PMID: 21350692 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Jong Jin Jung; Seung-Hee Baek; Ungsoo Samuel Kim |
Publication Detail:
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Type: Comparative Study; Journal Article Date: 2011-01-17 |
Journal Detail:
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Title: Korean journal of ophthalmology : KJO Volume: 25 ISSN: 1011-8942 ISO Abbreviation: Korean J Ophthalmol Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-02-25 Completed Date: 2011-06-15 Revised Date: 2011-07-25 |
Medline Journal Info:
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Nlm Unique ID: 8804513 Medline TA: Korean J Ophthalmol Country: Korea (South) |
Other Details:
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Languages: eng Pagination: 33-6 Citation Subset: IM |
Affiliation:
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Department of Ophthalmology, Kim's Eye Hospital, Konyang University College of Medicine, Seoul, Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Humans Male Middle Aged Optic Nerve Diseases / complications, etiology Optic Neuritis / complications, physiopathology Optic Neuropathy, Ischemic / complications, physiopathology Papilledema / etiology* Retrospective Studies Visual Fields |
| Comments/Corrections | |
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