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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.
Optic-disc edema will be graded based on the Frisén Scale [48] as below: Stage 0 – Normal Optic-disc Blurring of nasal, superior and inferior poles in inverse proportion to disc diameter. Radial nerve fiber layer (NFL) without NFL tortuosity. Rare obscuration of a major blood vessel, usually on the upper pole. Stage 1 – Very early optic ...
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.
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] Edema is seen in and around the optic nerve head also ...
In patients with headaches, the finding of swollen optic discs, or papilloedema, on fundus photography is a key sign, as this indicates raised intracranial pressure (ICP) which could be due to hydrocephalus, benign intracranial hypertension (aka pseudotumour cerebri) or brain tumor, amongst other conditions. Cupped optic discs are seen in glaucoma.
Schematic diagram of the human eye, with the optic disc, or blind spot, at the lower left. Shown is a horizontal cross section of the right eye, viewed from above. A normal optic disc is orange to pink in colour and may vary based on ethnicity. [3] A pale disc is an optic disc which varies in colour from a pale pink or orange colour to white. A ...
Non-arteritic anterior ischemic optic neuropathy (NAION) is a medical condition characterized by loss of vision caused by damage to the optic nerve as a result of ischemia, or insufficient blood supply. The key symptom of NAION is optic disc swelling, which typically resolves within 2 months, but often leads to optic atrophy. The likelihood of ...
Ischemic optic neuropathies are classified based on the location of the damage and the cause of reduced blood flow if known. [3] Anterior ischemic optic neuropathy (AION) includes diseases that affect the optic nerve head and cause swelling of the optic disc. These diseases often cause sudden rapid visual loss in one eye.