The prospective study of clinico-etiological analysis on patients of papilloedema

Abstract

Background As the etiologies of papilloedema are important from prognostic point of view, early recognition of its cause & prompt treatment is required for better visual outcome. Objective To study the etiology of the papilloedema in concerned patient and to study the optic disc changes by using ophthalmoscope and classify papilloedema. Materials and Methods This prospective study was based on patients presenting to our tertiary care hospital. 45 cases were selected amongst the patients attending our hospital during the study duration from July 2012 to July 2014. 45 patients were registered and informed consent was taken prior to study, those patients not giving consent for study were excluded. These participants were interrogated their demographic, investigative and management data were recorded and documented on predesigned and pretested proforma, and analyzed by using SPSS version 17. Results Papilloedema occur in a wide range of age group but are more common in the age group of 31–40 years. Overall, males were affected more than females. All the patients had bilateral papilloedema. The common etiological factor for papilloedema was intracranial space occupying lesion. According to stages of papilloedema, early papilloedema was most commonly seen. 57.2% of the patients had normal visual acuity (unaided) in papilloedema and all the patients had normal color vision pattern. Conclusion A careful history, general and complete ophthalmological work-up with necessary investigations like CT, MRI/MRV are mandatory to diagnose patients with papilloedema.