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Optic-disc edema of Grade 0-2; CSF opening pressure ≤ 25 cm H 2 O; Class 4 Institute treatment protocol as per Clinical Practice Guideline ≥ 0.50 diopter cycloplegic refractive changes and/or cotton-wool spot; Optic nerve sheath distention, and/or globe flattening and/or choroidal folds and/or scotoma; Optic-disc edema Grade 2 or above
The optic disc in these cases can appear swollen, sometimes accompanied by hemorrhages. [41] In some cases, there might be a phase where the disc appears swollen without immediate vision loss, potentially indicating a precursor to more severe damage. [42] NAION may present with color vision deficiency and a relative afferent pupillary defect.
Posterior ischemic optic neuropathy is a syndrome of sudden visual loss with optic neuropathy without initial disc swelling with subsequent development of optic atrophy. This can occur in patients who are predisposed to AAION and NAION as described above as well as those who had cardiac and spine surgery or serious episodes of hypotension.
Ischemic optic neuropathy (ION) is the loss of structure and function of a portion of the optic nerve due to obstruction of blood flow to the nerve (i.e. ischemia).Ischemic forms of optic neuropathy are typically classified as either anterior ischemic optic neuropathy or posterior ischemic optic neuropathy according to the part of the optic nerve that is affected.
The optic disc is where the axons from the retinal ganglion cells collect into the optic nerve. The optic nerve is the bundle of axons that carry the visual signals from the eye to the brain. This optic nerve must penetrate through the wall of the eye, and the hole to accommodate this is usually 20-30% larger than the nerve diameter.
As grade 3 + optic disc edema + macular star "Silver Wiring" There is an association between the grade of retinopathy and mortality. In a classic study in 1939 Keith and colleagues [ 6 ] described the prognosis of people with differing severity of retinopathy.
Papilledema or papilloedema is optic disc swelling that is caused by increased intracranial pressure due to any cause. [1] The swelling is usually bilateral and can occur over a period of hours to weeks. [2] Unilateral presentation is extremely rare. In intracranial hypertension, the optic disc swelling most commonly occurs bilaterally.
Unilateral or bilateral optic disc edema may occur. The exact etiology, pathogenesis and mechanism of the disc edema is unknown. [ 1 ] [ 2 ] Theories suggest that the dis edema is due to retinal vascular leakage into and surrounding the optic nerve and disruption of axoplasmic flow resulting from microvascular disease of the optic nerve head. [ 2 ]