EC Ophthalmology

Aims: Papilledema diagnosis is found to be an important fundus finding which may indicate a systemic pathology. Various studies have revealed that papilledema if left untreated can lead to progressive irreversible loss of vision and in upto 31% of the patients secondary optic atrophy. In literature few unusual causes of papilledema case series are present [1], regarding the importance of neuroimaging in papilledema [2] are given, but there is only one other study which was conducted to look for the etiological factors and visual field defects in papilledema [3]. Hence this study aims at determining the etiological factors in patients with papilledema in a rural population.

Material and Methods: Hospital based prospective, observational case series, study was conducted for a duration of two years.

Results: Women were found to be more affected than males (39 males and 54 women). Of the 93 patients cerebral infection (40%) was found to be the most common cause, other causes included seizure disorder 17%, intracranial space occupying lesion 10%, cerebral venous thrombosis in six percent, nine percent were suspected to have idiopathic intracranial hypertension (IIH). Early papilledema (84%) was seen as the most common type followed by established and chronic papilledema.

 Keywords: Papilledema; Space Occupying Lesions; IIH; Cerebral Infection

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