Analysis of the Causes of Optic Disc Swelling.
- Author:
Jong Jin JUNG
1
;
Seung Hee BAEK
;
Ungsoo Samuel KIM
Author Information
- Publication Type:Original Article ; Comparative Study
- Keywords: Ischemic optic neuropathy; Korea; Optic disc swelling; Optic neuritis
- MeSH: 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
- From:Korean Journal of Ophthalmology 2011;25(1):33-36
- CountryRepublic of Korea
- Language:English
- Abstract: 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.
