SPECTRUM OF OPTIC NEUROPATHIES PRESENTING IN NEUROOPHTHALMOLOGY CLINIC AT AFIO

  • Umer Ijaz Armed Forces Institute of Ophthalmology/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Asad Habib Armed Forces Institute of Ophthalmology/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Hassan Sajjad Rathore Armed Forces Institute of Ophthalmology/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Muhammad Imran Sarwar Khan Combined Military Hospital Abbottabad/National University of Medical Sciences (NUMS) Pakistan
Keywords: Ischemic optic neuropathy, Neuropathy, Optic neuritis, Pituitary tumor, Traumatic optic neuropathy

Abstract

Objective: To study the spectrum of optic neuropathies in patient’s presenting at AFIO Rawalpindi.

Study Design: Descriptive study/retrospective study.

Place and Duration of Study: Armed Forces Institute of Ophthalmology, Rawalpindi, from Jan 2017 to Dec 2017.

Methodology: Retrospective analysis of hospital record of patients coming to neuro-ophthalmic clinic of Armed
Forces Institute of Ophthalmology (AFIO), Rawalpindi, from Jan to Dec 2017 was done. Only patients with clear
final diagnosis of neurophthalmic disease were included. Those with vague diagnosis were excluded. Data was
entered in SPSS version 22 and grouped into variables before analysis. Chi-square test was used for statistical
analysis. The p<0.05 was considered significant.

Results: Forty-five patients were included in study including 33 (73.3%) males and 12 (26.6%) females. Mean age of patients was 41.64 ± 17.74 years. Patients were grouped into ischemic optic neuropathy 20%, toxic optic neuropathies 20%, compressive optic neuropathies 17.7%, inflammatory optic neuropathies 11%, neuroretinitis 6.7%, hereditary optic neuropathies 6.7%, multiple sclerosis (MS) related 4.4%, neuromylitis optics spectrum (NMO-SD) related 4.4%, traumatic optic neuropathies 4.4% and nutritional optic neuropathies 4.4%. Deficiency of vitamin B12 and vitamin D was strongly associated with nutritional optic neuropathies while raised TLC was most common association with inflammatory optic neuropathies (57.14%) and of neuroretinitis (66%). Anti-tuberculosis drugs were most common cause of toxic optic neuropathies (88.88%). Chi square test was used for statistical analysis and p<0.05 was considered significant.

Conclusion: Ischemic optic neuropathy is the most common presentation in our population according to our
study. However...........

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Published
2021-02-24
How to Cite
Ijaz, U., Habib, A., Rathore, H., & Sarwar Khan, M. (2021). SPECTRUM OF OPTIC NEUROPATHIES PRESENTING IN NEUROOPHTHALMOLOGY CLINIC AT AFIO. PAFMJ, 71(1), 112-16. https://doi.org/10.51253/pafmj.v71i1.2435
Section
Original Articles