scholarly journals Acute visual loss and optic disc edema followed by optic atrophy in two cases with deeply buried optic disc drusen: a mimicker of atypical optic neuritis

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Mário Luiz R. Monteiro ◽  
Kenzo Hokazono ◽  
Leonardo P. Cunha ◽  
Laurentino Biccas Neto
Keyword(s):  
Optic Neuritis ◽  
Optic Disc ◽  
Optic Atrophy ◽  
Visual Loss ◽  
Optic Disc Edema ◽  
Disc Edema ◽  
Acute Visual Loss ◽  
Optic Disc Drusen

Optic Disc Drusen, Important Detail in the Differential Diagnosis of Optic Disc Edema

2016 ◽  
Vol 6 (1) ◽  
pp. 1-5
Author(s):  
Mehmet Sabaner ◽  
Rahmi Duman ◽  
Ersan Çetinkaya ◽  
Reşat Duman ◽  
Sibel İnan
Keyword(s):  
Differential Diagnosis ◽  
Optic Disc ◽  
Optic Disc Edema ◽  
Disc Edema ◽  
Optic Disc Drusen

Clinical and Etiological Profile of Patients with Optic Disc Edema in Tertiary Care Centre of Nepal

2019 ◽  
Vol 41 (1) ◽  
pp. 24-30
Author(s):  
Ritish K Shah
Keyword(s):  
Visual Acuity ◽  
Visual Field ◽  
Optic Neuritis ◽  
Color Vision ◽  
Optic Disc ◽  
Optic Neuropathy ◽  
Tertiary Care ◽  
Ischemic Optic Neuropathy ◽  
Optic Disc Edema ◽  
Disc Edema

Introduction: Optic disc edema can be a manifestation of various neurological disorders. Identification of those causes is possible in most cases using tests like visual acuity, color vision, visual field and suitable radiological imaging. Study in Nepalese population with regard to optic disc edema is scarce. Hence this study aims to act as a guideline for evaluation of such cases and help in further studies in this regard. Methods: A descriptive, cross-sectional study was conducted in all cases of optic disc edema presenting to neuro-ophthalmology clinic of B.P. Koirala Lions Centre for Ophthalmic Studies from January 2011 to June 2012. A detailed history was obtained and proper ocular and nervous examination was done by ophthalmologist and neuro-physician. Assessment of visual acuity, color vision, contrast sensitivity and visual field along with radiological tests were done in all possible cases. Results: Out of all the cases evaluated, 38 cases where causes of optic disc edema could be established were included in the study. The commonly affected age group was 31 to 40 years (26.3%) and most of them were males. The commonest cause observed was optic neuritis (36.8%). Others were papilledema, idiopathic intracranial hypertension, toxic optic neuropathy, non-arteritic anterior ischemic optic neuropathy (NA-AION), compressive and traumatic optic neuropathy. Conclusion: Optic neuritis and papilledema should be considered as common differential diagnosis in patients with optic disc edema. NA-AION is a relatively uncommon disease among Nepalese population.

scholarly journals Edema Bilateral do Disco Óptico Secundário a Amiodarona: Manifestação de uma Neuropatia Óptica Iatrogénica

2015 ◽  
Vol 28 (2) ◽  
pp. 256 ◽  
Author(s):  
Carlos Andrade ◽  
Olinda Faria ◽  
Joana Guimarães
Keyword(s):  
Optic Disc ◽  
Optic Neuropathy ◽  
Visual Loss ◽  
Ischemic Optic Neuropathy ◽  
Increased Intracranial Pressure ◽  
Optic Disc Edema ◽  
Gradual Improvement ◽  
Disc Edema ◽  
Acute Presentation ◽  
Nerve Dysfunction

A 69-years-old male patient was treated with amiodarone 200mg/day over the passed two months for atrial fibrillation. He presented a sudden, painless and unilateral visual loss. Ophthalmologic evaluation revealed a bilateral optic disc edema. Neurological examination was otherwise unremarkable. After properly excluding increased intracranial pressure and giant cell arteritis, the main differential diagnosis was between nonarteritic anterior ischemic optic neuropathy and optic neuropathy secondary to amiodarone. The latter diagnosis was favored due to a presence of bilateral and simultaneous optic disc edema, gradual improvement of symptoms after discontinuation of the drug, and, mostly, by persistence of optic disc edema beyond 6 weeks. Of note, an acute presentation of this disorder is common. Amiodarone optic neuropathy is a rare but potentially serious cause of optic nerve dysfunction, and its discontinuation is usually warrant.

scholarly journals Combined therapy with intravitreal aflibercept and subtenon corticosteroids in eyes with severe diabetic papillopathy: two case reports

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Ilir Arapi ◽  
Piergiorgio Neri ◽  
Alfonso Giovannini ◽  
Arjeta Grezda
Keyword(s):  
Macular Edema ◽  
Triamcinolone Acetonide ◽  
Optic Disc ◽  
Visual Loss ◽  
Case Reports ◽  
Caucasian Woman ◽  
Optic Disc Edema ◽  
Disc Edema ◽  
First Case ◽  
Intravitreal Aflibercept

Abstract Background Diabetic papillopathy is a rare diagnosis of exclusion characterized by unilateral or bilateral optic disc edema with variable degrees of visual loss. Although the visual prognosis has been generally reported as favorable, the presence of severe disc edema associated with macular edema prompts the need for treatment. We present a specific and unreported therapeutic approach consisting of intravitreal aflibercept and subtenon triamcinolone acetonide injections in two patients with evidence of diabetic papillopathy and macular edema. Case presentation In the first case, a 60-year-old Caucasian woman affected by type II diabetes mellitus presented with fundoscopic evidence of sequential bilateral optic disc edema associated with acute severe visual loss in both eyes. The second patient, a diabetic 57-year-old Caucasian male, presented with sudden painless visual loss in his left eye. Multimodal imaging and systemic findings correlated towards an infrequent diagnosis of diabetic papillopathy. In a period of 5–7 weeks after treatment, both patients experienced almost full visual and anatomical recovery. A steady situation was observed at 12 months of follow-up. Conclusions Both our cases displayed a severe grade of optic disc edema, which was optimally reversed with intravitreal aflibercept and subtenon triamcinolone acetonide leading to a relatively rapid and safe improvement in visual acuity.

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