alexa Unusual Presentation Of Idiopathic Intracranial Hypertension In A Paediatric Patient | 81315
ISSN: 2155-9570

Journal of Clinical & Experimental Ophthalmology
Open Access

Like us on:
OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

18th Joint event on European Ophthalmology Congress & Ocular Pharamacology
December 04-06, 2017 | Rome, Italy

Anna Praidou, Vaia Doulioglou, Eirini Kaldi and Sofia Androudi
Department of Ophthalmology, General Hospital of Thessaloniki “G. Gennimatas-O Agios Dimitrios”, Greece
Department of Paediatrics, General Hospital of Thessaloniki “G. Gennimatas-O Agios Dimitrios”, Greece
Department of Ophthalmology, University Hospital of arissa, Thessaly, Greece
Posters & Accepted Abstracts: J Clin Exp Ophthalmol
DOI: 10.4172/2155-9570-C1-076
Abstract
Statement of the problem: Idiopathic intracranial hypertension (IIH) was described over a century ago; although its pathogenesis remains unknown, diagnostic and therapeutic developments during the past two decades have substantially advanced patient management. The purpose of this case report is to present an usual presentation of IIH in a paediatric patient. Methodology and Theoretical Orientation: A case of an 11 year-old male patient was referred to Dept. of Ophthalmology due to blurred vision in the last week on both eyes. On presentation Ishihara colour vision was normal and his best corrected visual acuity was 6/12 on his right eye and 6/9 on his left eye. Findings: Fundoscopy revealed papilloedema and macular oedema bilaterally. The patient underwent optical coherence tomography and visual fields investigation which showed visual field abnormality. The boy is not obese and his blood tests were normal. Magnetic resonance imaging and lumbar puncture confirmed a diagnosis of increased intracranial pressure (ICP). Patient was treated medically with acetazolamide 250 mg 3 times per day. One week follow-up showed improvement in macular oedema, while one month follow-up showed improvement in papilloedema and good recovery of visual function. Six month follow-up showed almost resolution of papilloedema, while there are remaining visual field defects. Conclusion and Significance: The treatment goal for patients with IIH is to preserve optic nerve function while managing ICP. Optic nerve function should be carefully monitored with an assessment of visual acuity, colour vision, optic nerve head appearance, and perimetry. Patients without visual loss most often are treated with a carbonic anhydrase inhibitor (acetazolamide) to lower the ICP. In patients with severe symptoms, early visual field loss, or poor response to standard medical therapy, some clinicians utilize a short course of high-dose oral corticosteroids. Both prompt diagnosis and management are important to prevent permanent visual loss. Recent Publications 1. Friedman DI, Jacobson DM (2004) Idiopathic intracranial hypertension. J Neuroophthalmol 24:138-45. 2. Fraser JA, Bruce BB, Rucker J, et al (2010) Risk factors for idiopathic intracranial hypertension in men: a case-control study. J Neurol Sci 290:86-9. 3. Jirásková N, Rozsíval P (2008) Idiopathic intracranial hypertension in pediatric patients. Clin Ophthalmol 2:723-6. 4. Wall M, McDermott MP, Kieburtz KD, et al (2014) Effect of acetazolamide on visual function in patients with idiopathic intracranial hypertension and mild visual loss: the idiopathic intracranial hypertension treatment trial. JAMA 311:1641-51. 5. Ney JJ, Volpe NJ, Liu GT et al (2009) Functional visual loss in idiopathic intracranial hypertension. Ophthalmology 116:1808-1813. 6. Wall M, Falardeau J, Fletcher WA, et al (2015) Risk factors for poor visual outcome in patients with idiopathic intracranial hypertension. Neurology 85:799-805.
Biography

Anna Praidou received her medical degree, completed her PhD thesis and her residency at the University of Thessaloniki, Greece. She completed an MSc in Medical Research Methodology at the University of Thessaloniki, Greece and another MSc in Health Unit Management at the Open University of Patra, Greece. After completion of her training in Ophthalmology she was working at Alder Hey Hospital, Liverpool in Paediatric Ophthalmology, at Royal Liverpool University Hospital in Medical retina, Uveitis and Ocular Oncology Services. She was previously also working at Moorfields Eye Hospital, London in the Cataract Service and at the Royal Free Hospital, London in Medical Retina and Cataract services. She is currently working as a Consultant Ophthalmic Surgeon in NHS.

image PDF   |   image HTML
 
Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2018-19
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2018 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version