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Optical coherence tomography demonstrates subretinal macular edema from papilledema.
- Source :
-
Archives of ophthalmology (Chicago, Ill. : 1960) [Arch Ophthalmol] 2001 Sep; Vol. 119 (9), pp. 1287-90. - Publication Year :
- 2001
-
Abstract
- Objective: To evaluate macular changes in eyes with papilledema from increased intracranial pressure using optical coherence tomography (OCT).<br />Methods: Fifty-five patients with papilledema seen during 1998 and 1999 were studied with OCT of the optic nerve and retinal nerve fiber layer. Nineteen of these also had OCT of the macula during periods of acute, subacute, or recurrent papilledema and were evaluated in detail for this report.<br />Results: Seven patients had OCT evidence of subretinal fluid involving the macula. All had some reduction in visual acuity. The subretinal fluid appeared to arise from the peripapillary region, and all showed some improvement in central vision as the fluid resolved.<br />Conclusions: Subretinal fluid accumulations can cause decreased visual acuity in patients with papilledema. Optical coherence tomography can demonstrate subretinal fluid and can be used to follow the course of this important visual complication of papilledema.
- Subjects :
- Acute Disease
Adolescent
Adult
Exudates and Transudates
Female
Humans
Interferometry
Intracranial Hypertension complications
Light
Male
Middle Aged
Nerve Fibers pathology
Optic Nerve pathology
Papilledema etiology
Tomography methods
Visual Acuity
Visual Fields
Diagnostic Techniques, Ophthalmological
Macular Edema diagnosis
Papilledema diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 0003-9950
- Volume :
- 119
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- Archives of ophthalmology (Chicago, Ill. : 1960)
- Publication Type :
- Academic Journal
- Accession number :
- 11545633
- Full Text :
- https://doi.org/10.1001/archopht.119.9.1287