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Current Neurology and Neuroscience Reports

Erschienen in:

01.10.2017 | Neuro-Ophthalmology (A Kawasaki, Section Editor)

Optical Coherence Tomography to Differentiate Papilledema from Pseudopapilledema

verfasst von: Gema Rebolleda, Aki Kawasaki, Victoria de Juan, Noelia Oblanca, Francisco Jose Muñoz-Negrete

Erschienen in: Current Neurology and Neuroscience Reports | Ausgabe 10/2017

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Abstract

Purpose of Review

Mild papilledema may be difficult to distinguish by clinical observation from pseudopapilledema. An accurate diagnosis is critical to avoid invasive workup and unwarranted treatment. In this review, we focus on the development and subsequent role of optical coherence tomography (OCT) in detecting and differentiating optic nerve head drusen (ONHD) from papilledema and other causes of acquired swelling of the optic disc.

Recent Findings

Newer OCT technologies which permit deeper penetration to improve detection of ONHD were also reviewed. Enhanced depth imaging (EDI) spectral-domain OCT and swept-source (SS) OCT are currently recognized as the most reliable and sensitive tools to diagnose ONHD.

Summary

OCT devices currently available provide a means to quantify drusen dimensions, to evaluate the integrity of neighboring structures and to monitor axonal and neuronal damage, yielding additional information to better understand the relationship between the morphological features of drusen, and their effects on the structure and function of the optic nerve.

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Titel: Optical Coherence Tomography to Differentiate Papilledema from Pseudopapilledema
verfasst von: Gema Rebolleda
Aki Kawasaki
Victoria de Juan
Noelia Oblanca
Francisco Jose Muñoz-Negrete
Publikationsdatum: 01.10.2017
Verlag: Springer US
Erschienen in: Current Neurology and Neuroscience Reports / Ausgabe 10/2017
Print ISSN: 1528-4042
Elektronische ISSN: 1534-6293
DOI: https://doi.org/10.1007/s11910-017-0790-6

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Optical Coherence Tomography to Differentiate Papilledema from Pseudopapilledema

Abstract

Purpose of Review

Recent Findings

Summary

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