Abstract

COLUMBIE GARBEY, Yannara Elina et al. Neuro-opththalmologic alterations in patients diagnosed with idiopathic endocranial hypertension. Rev Cubana Oftalmol [online]. 2011, vol.24, n.1, pp. 76-85. ISSN 0864-2176.

OBJECTIVE: To determine the behavior of neuro-ophthalmologic alterations of this entity. METHODS: A prospective study was conducted in 80 patients diagnosed with idiopathic endocranial hypertension seen in the "Ramon Pando Ferrer" Cuban Institute of Ophthalmology from 2006 to 2020 emphasizing the clinical manifestations, the physical examination and the assessment of disk by optical coherence tomography. RESULTS: The idiopathic endocranial hypertension was present in the 61 % of women aged between 15 and 40. The predominant clinical manifestations were headache, transient visual darkening and diplopia. The physical examination showed the presence of papilledema in all patients, campimetry affection in the 87 % and contrast alterations in the 79 % related to course time. The optical coherence tomography was useful for diagnosis and follow-up of the study cases. CONCLUSIONS: The idiopathic endocranial hypertension produces a visual functional damage irreversible in patients diagnosed in a late way.

Keywords : Idiopathic endocranial hypertension; clinical diagnosis; visual function; optical coherence tomography.

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