[Importance of fluorescein angiography for differentiating between early papilledema and papillitis]. / Stellenwert der Fluoreszenzangiographie zur Differenzierung zwischen einer frühen Stauungspapille und einer Papillitis.
Ophthalmologie
; 121(2): 135-140, 2024 Feb.
Article
en De
| MEDLINE
| ID: mdl-38253895
ABSTRACT
BACKGROUND:
Optic disc swelling poses a diagnostic challenge due to its multiple underlying pathological causes. This study aimed to investigate the use of fluorescein angiography (FLA) in combination with optical coherence tomography (OCT) as a diagnostic tool for differentiating between papilledema and papillitis in cases of optic disc swelling. MATERIAL ANDMETHODS:
A total of 12 patients were included in the study in whom both FLA and OCT of the optic disc were performed to evaluate the optic disc swelling in cases of papilledema (7 patients, 14 eyes) and papillitis (5 patients, 7 eyes). The fluorescence behavior of the optic disc during late phase FLA was examined in relation to papillary thickness measured by OCT. RESULTS ANDDISCUSSION:
In the papilledema group OCT revealed a mean papillary thickness of 873⯵m. In 6 patients FLA detected a ring-shaped papillary hyperfluorescence with papillary thicknesses ranging from 611⯵m to 972⯵m. Another patient with chronic and marked papilledema exhibited bilateral panpapillary leakage in FLA and papillary thicknesses of 1287⯵m (right eye) and 1526⯵m (left eye). In the papillitis group FLA showed panpapillary leakage in all cases. The mean papillary thickness was 865⯵m (range 632-1195⯵m).CONCLUSION:
In acute optic disc swelling and a papillary prominence less than 1000⯵m in OCT, a difference in FLA was noticeable between papilledema and papillitis. While acute and mild papilledema exhibited a ring-shaped hyperfluorescence, papillitis showed a panpapillary leakage in late phase FLA in the examined cases. This difference could not be seen in the case of papilledema with chronic and severe swelling.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Disco Óptico
/
Papiledema
Tipo de estudio:
Diagnostic_studies
Límite:
Humans
Idioma:
De
Revista:
Die Ophthalmologie (Online)
/
Ophthalmologie
Año:
2024
Tipo del documento:
Article