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尼泊尔三级眼科护理中心视盘水肿的病因

Etiologies of Optic Disc Edema in Tertiary Eye Care Centre in Nepal.

作者信息

V Keepa, Bhandari Sanjeeb, Gurung Reeta

机构信息

Tilganga Institute of Ophthalmology, Bagmati Bridge, Kathmandu, Nepal.

出版信息

Nepal J Ophthalmol. 2018 Jul;10(20):139-142. doi: 10.3126/nepjoph.v10i2.19472.

Abstract

INTRODUCTION

Optic disc edema is a common clinical finding that can be caused by benign to vision and or life-threatening conditions.

OBJECTIVE

To investigate the etiologies of optic disc edema among patients presenting to Tilganga Institute of Ophthalmology, Kathmandu, Nepal.

MATERIALS AND METHODS

A retrospective chart review of patients with optic disc edema presenting to Neuro-ophthalmology department of Tilganga Institute of Ophthalmology from May 2012 to May 2014, was made.

RESULTS

98 patients were diagnosed with disc edema. Females (64%) were frequently affected. It was noted more in the 21 - 50 age groups. Papilledema was the most frequent cause (35.7%) of disc edema followed by papillitis (28.6%), pseudopapilledma (18.4%) and ischemia (17.3%), respectively. Brain tumors (13%) were the most common etiology for papilledema.

CONCLUSION

Papilledema along with other causes, are common etiologies for disc edema. A detailed history and careful evaluation are necessary as the treatment strategy highly depends on it's underlying etiologies.

摘要

引言

视盘水肿是一种常见的临床症状,可由良性至威胁视力及/或生命的病症引起。

目的

调查尼泊尔加德满都蒂尔甘加眼科研究所就诊患者视盘水肿的病因。

材料与方法

对2012年5月至2014年5月在蒂尔甘加眼科研究所神经眼科就诊的视盘水肿患者进行回顾性病历审查。

结果

98例患者被诊断为视盘水肿。女性(64%)受影响更为频繁。在21 - 50岁年龄组中更为常见。视乳头水肿是视盘水肿最常见的原因(35.7%),其次是视乳头炎(28.6%)、假性视乳头水肿(18.4%)和缺血(17.3%)。脑肿瘤(13%)是视乳头水肿最常见的病因。

结论

视乳头水肿以及其他病因是视盘水肿的常见病因。由于治疗策略高度依赖于其潜在病因,因此详细的病史和仔细的评估是必要的。

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