Prognostic Value of Optical Coherence Tomography in Idiopathic Intracranial Hypertension
Background: Increased intracranial pressure without a tumor or other disorders is a hallmark of the neurological condition known as idiopathic intracranial hypertension [IIH]. The major concern among patients with this condition is the hazardous effects on the optic nerve; so, prediction of optic ne...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Al-Azhar University, Faculty of Medicine (Damietta)
2022-10-01
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| Series: | International Journal of Medical Arts |
| Subjects: | |
| Online Access: | https://ijma.journals.ekb.eg/article_282428_18cb5e3a1a1586b93632403be364199d.pdf |
| Summary: | Background: Increased intracranial pressure without a tumor or other disorders is a hallmark of the neurological condition known as idiopathic intracranial hypertension [IIH]. The major concern among patients with this condition is the hazardous effects on the optic nerve; so, prediction of optic nerve involvement is a priority for those individuals.Aim of the work: To assess the predictive value of the optical coherence tomography [OCT] in the follow up of optic disc edema in patients with idiopathic intracranial hypertension, measuring the thickness of the retinal nerve fiber layer [RNFL] and optic disc, and therefore warrant more expedited evaluation and treatment.Patients and methods: A prospective cohort study included 30 patients with IIH. Optical coherence tomography was completed at baseline and follow-up for six months.Results: The mean RNFL thickness was 107.84 ± 21.65 µm with mean ganglion cell complex [GCC] thickness of 89.94 ± 9.33 µm and mean optic nerve head [ONH] thickness was 615 ± 189 µm. There is a significant decrease in intracranial pressure [ICP] associated with a decrease in RNFL thickness and ONH thickness.Conclusion: OCT imaging can be done as non-invasive quantitative method instead of opening pressure in follow up of patients. |
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| ISSN: | 2636-4174 2682-3780 |