Assesment of Optic Disc Edema

Czech version

Authors: N. Jirásková; J. Kadlecová; E. Rencová; J. Studnička; P. Rozsíval
Authors‘ workplace: Hradec Králové ; Oční klinika LF UK a FN
Published in: Cesk Slov Neurol N 2007; 70/103(5): 547-551
Category: Short Communication

Overview

Optic disc edema is a clinical manifestation of various pathological conditions. Papilledema is optic disc swelling that results from increased intracranial pressure. The development of papilledema is a dynamic process, that could be classified into several stages: early, fully developed, chronic a late, atrophic stage. The characteristic signs of papilledema are venous congestions of arcuate and peripapillary vessels, blurring of the optic disc margins, filling-in of the optic disc cup, papillary and retinal peripapillary hemorhages, hard exudates, nerve fiber layer infarcts (cotton-wool spots), edema of the nerve fiber layer and retinal or choroidal folds. The authors present survey of methods of ocular fundus assesment. Based on their own experiences and literature review they compare advantages and disadvantages of each method and the scheme of description of ophthalmoscopic picture of papilledema. The objective of this article is to improve communication and cooperation between neurologists, neurosurgeons and ophthalmologists that will be beneficial in the treatment of their common patients with papilledema.

Key words:
papilledema – optic nerve – assesment – staging scheme

Sources

1. Otradovac J. Klinická neurooftalmologie. Praha: Grada Publishing 2003.

2. Vokurka M, Hugo J et al. Velký lékařský slovník. Praha: Maxdorf 2002.

3. Kline LB e(Ed). Optic Nerve Disorders. San Francisco: American Academy of Ophthalmology; 1996: 37-55.

4. Sadun AA, Rubin RM. Neuroophthalmology. In: Yanoff M, Duker J Eds). Ophthalmology. London: Mosby International Ltd 1999.

5. Kritzinger EE, Beaumont HM. Papilloedema and pseudopapilloedema. In: Kritzinger EE, Beaumont HM. A Colour Atlas of Optic Disc Abnormalities. Ipswich: Wolfe Medical Publications Ltd 1987: 75-78.

6. Schatz MP, Carter JE. Swollen Disc. In: Heuven WAJ, Zwaan J. Decision Making in Ophthalmology - An Algorithmic Approach. 2nd ed. St. Louis: Mosby Inc 2000: 370-372.

7. Burde RM, Savino PJ, Trobe JD. Abnormal Optic Discs. In: Burde RM, Savino PJ, Trobe JD. Clinical Desicions in Neuro-Ophthalmology. 2nd ed. St. Louis: Mosby Inc 1992: 183-195.

8. Miller NR. The Optic Nerve. In: Miller NR. Walsh and Hoyts´s Clinical Neuro-Ophthalmology. 4th ed. Baltimore: Williams&Wilkins 1982: 176-206.

9. Corbett J, Wall M. The Optic Nerve Head: Elevated Discs. In: Rosen ES, Eustace P, Thompson HS, Cumming WJK. Neuroophthalmology. London: Mosby Inc 1998: 18.1-18.10.

10. White WN, Corbett J, Wall M. Raised Intracranial Pressure. In: Rosen ES, Eustace P, Thompson HS, Cumming WJK. Neuroophthalmology. London: Mosby Inc 1998: 21.1-21.12.

11. Vaphiades MS. The Disc Edema Dilemma. Surv Ophthalmol 2002; 47: 183-188.

12. Mathews MK, Sergott RC, Savino PJ. Pseudotumor cerebri. Curr opin Ophthalmol 2003; 14: 364-370.

13. Chou SY, Digre KB. Neuro-ophthalmic Complications of Raised Intracranial Pressure, Hydrocephalus, and Shunt Malfunction. Neuroophthalmol for Neurosurgeons 1999; 10: 587-608.

14. Lee AG, Orengo-Nania SD, Brazis PW, Lech EM. Poor visual outcome following optic disc edema with a macular star (´neuroretinitis ´). Neuroopthalmol 1998; 19: 57-61.

15. Vaphiades MS, Eggenberger ER, Miller NR, Frohman L, Krisht A. Resolution of Papilledema After Neurosurgical Decompression for Primary Chiari I Malformation. Am J Ophthalmol 2002; 133: 673-678.

16. Vaphiades MS. Other Intracranial Mass Lesions. Neuroopthalmol for Neurosurgeons 1999; 10: 759-774.

17. Kršek P, Petrák B, Belšan T. Pochop P, Tichý M, Hořínek D et al. Pseudotumor cerebri v dětském věku. Česk Slov Neurol N 2004; 67/100: 104-111.

18. Kalita Z, Kalita O, Kuběna T, Němeček D. Vliv snížení nitrolebního tlaku u syndromu pseudotumoru mozku na zrakové funkce. Čes Slov Oftal 2004; 60: 307-312.

19. Vladyková J, Cigánek L. Intermitentní městnavá papila u mozkového nádoru. Čes Slov Oftal 1983; 39: 446-448.

20. Birndtová E, Krejčí L, Šmejkal F, Frydrychová M. Dynamika změn na očním pozadí při dvou modelech mozkového edému. Čes Slov Oftal 1978; 35: 254-261.

21. Brožek B, Brettschneider I, Krejčí L. Městnavá papila při edému mozku. Čes Slov Oftal 1982; 38: 343-347.

22. Sušický P, Mach R. Význam hodnocení edému terče zrakového nervu při náhlém zvýšení nitrolebního tlaku. Čes Slov Oftal 1997; 53: 244-247.

23. Jirásková N, Rozsíval P. Idiopatická intrakraniální hypertenze u dětí. Česk Slov Neurol N 2006 69/102: 64-70.