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Ophthalmic Outcomes in Children With Spina Bifida Myelomeningocele in Ireland.
J Pediatr Ophthalmol Strabismus
January 2025
Purpose: To investigate the ophthalmic complications associated with spina bifida myelomeningocele (SBM) in Irish children and to evaluate the impact of spinal lesion levels and shunt status on visual outcomes.
Methods: A retrospective audit was conducted on 129 children with SBM, examining visual acuity, refractive errors, strabismus, papilledema, optic atrophy, and cortical visual impairment (CVI). The median age of participants was 6.
Asymptomatic Empty Sella: A Literature Review and Suggestions for Evaluation in Clinical Practice.
Cureus
December 2024
Neurosurgery, Desert Regional Medical Center, Palm Springs, USA.
Empty sella (ES) is a radiographic finding defined by the presence of cerebrospinal fluid in the sella turcica, with associated compression of the pituitary gland. Empty sella syndrome (ESS) is the combination of this radiographic finding with endocrine, ophthalmological, and/or neurological symptoms. The focus of this literature review is to synthesize information about asymptomatic or incidental ES specifically, meaning the radiologic finding of an empty sella without symptoms.
View Article and Find Full Text PDFIdiopathic intracranial hypertension presenting as bilateral palpebral venous engorgement.
Am J Ophthalmol Case Rep
December 2024
California Pacific Medical Center Department of Ophthalmology, 711 Van Ness, Suite 250, San Francisco, CA, 94102, USA.
Purpose: To report the case of a woman in her fifties whose presenting symptom of idiopathic intracranial hypertension was engorgement of the eyelid veins.
Observations: Bilateral engorged palpebral veins were visible through the skin. Dilated fundus examination revealed bilateral optic disc edema.
Utility of Papilledema for Detection of Elevated Intracranial Pressure in Craniosynostosis.
J Craniofac Surg
November 2024
Department of Plastic Surgery, University of Texas Southwestern Medical Center.
Papilledema is swelling of the optic disk due to fluid accumulation around the optic nerve and is commonly used to detect increased intracranial (ICP) in craniosynostosis. This study aimed to assess the prevalence and utility of papilledema detection in patients with single-suture, multi-suture, and syndromic craniosynostosis and the differences before and after surgical intervention. A retrospective review of ophthalmology examinations of patients diagnosed with craniosynostosis treated between 2008 and 2023 was performed.
View Article and Find Full Text PDFLongitudinal visual outcomes in idiopathic intracranial hypertension: the role of early prognostic indicators and risk stratification in disease management.
J Neurol
January 2025
Department of Neuroscience, Central Clinical School, Faculty of Medicine, Nursing and Health Science, Monash University, Melbourne, VIC, Australia.
Background: Idiopathic intracranial hypertension (IIH) is increasingly prevalent, yet longitudinal outcome data are scarce. This study aimed to characterise demographic and longitudinal clinical changes in a cohort of patients with IIH.
Methods: Retrospective cohort analysis on adult patients diagnosed with IIH (Friedman criteria) enrolled in the neuro-ophthalmology database (NODE) across two tertiary centres.
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