Bilateral optic disc edema in patients with severe systemic arterial hypertension: Clinical features and visual acuity outcomes

Ingrid U. Scott, Harry W Flynn, Luma Al-Attar, Gail L. Ganser, Antonio V. Aragon, Byron L Lam

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

BACKGROUND AND OBJECTIVE: To report clinical features and visual outcomes in patients with bilateral optic disc edema and severe systemic arterial hypertension. PATIENTS AND METHODS: Records were re viewed of patients with bilateral optic disc edema, severe arterial hypertension, and 3 or more months of follow-up evaluated at Bascom Palmer Eye Institute between 1982 and 2003. RESULTS: Sixteen patients (median age = 41 years; median follow-up = 31 months) were identified. Median blood pressure on initial eye examination was 220 mm Hg systolic and 126 mm Hg diastolic. Among all study eyes, median visual acuity was 20/55 on presentation. At the last follow-up examination, an acuity of 20/50 or better was achieved in 20 (63%) eyes; 12 (75%) patients achieved a final acuity of 20/50 or better in at least one eye. Posterior segment abnormalities at last follow-up included disc pallor (n = 16), macular star (n = 7), retinal pigment epithelial atrophy (n = 7), epiretinal membrane (n = 5), branch retinal vein occlusion (n = 4), and persistent disc edema (n = 2). Causes of final acuity of less than 20/50 included optic atrophy, epiretinal membrane, serous retinal detachment, macular hole, and branch retinal vein occlusion. CONCLUSION: Most patients with bilateral optic disc edema and severe arterial hypertension maintained visual acuity of 20/50 or better in at least one eye.

Original languageEnglish
Pages (from-to)374-380
Number of pages7
JournalOphthalmic Surgery Lasers and Imaging
Volume36
Issue number5
StatePublished - Sep 1 2005

Fingerprint

Papilledema
Visual Acuity
Hypertension
Epiretinal Membrane
Retinal Vein Occlusion
Pallor
Optic Atrophy
Retinal Perforations
Retinal Pigments
Retinal Detachment
Atrophy
Edema
Blood Pressure

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Bilateral optic disc edema in patients with severe systemic arterial hypertension : Clinical features and visual acuity outcomes. / Scott, Ingrid U.; Flynn, Harry W; Al-Attar, Luma; Ganser, Gail L.; Aragon, Antonio V.; Lam, Byron L.

In: Ophthalmic Surgery Lasers and Imaging, Vol. 36, No. 5, 01.09.2005, p. 374-380.

Research output: Contribution to journalArticle

@article{9647694d42d04bdeb7c4cebc2018fab8,
title = "Bilateral optic disc edema in patients with severe systemic arterial hypertension: Clinical features and visual acuity outcomes",
abstract = "BACKGROUND AND OBJECTIVE: To report clinical features and visual outcomes in patients with bilateral optic disc edema and severe systemic arterial hypertension. PATIENTS AND METHODS: Records were re viewed of patients with bilateral optic disc edema, severe arterial hypertension, and 3 or more months of follow-up evaluated at Bascom Palmer Eye Institute between 1982 and 2003. RESULTS: Sixteen patients (median age = 41 years; median follow-up = 31 months) were identified. Median blood pressure on initial eye examination was 220 mm Hg systolic and 126 mm Hg diastolic. Among all study eyes, median visual acuity was 20/55 on presentation. At the last follow-up examination, an acuity of 20/50 or better was achieved in 20 (63{\%}) eyes; 12 (75{\%}) patients achieved a final acuity of 20/50 or better in at least one eye. Posterior segment abnormalities at last follow-up included disc pallor (n = 16), macular star (n = 7), retinal pigment epithelial atrophy (n = 7), epiretinal membrane (n = 5), branch retinal vein occlusion (n = 4), and persistent disc edema (n = 2). Causes of final acuity of less than 20/50 included optic atrophy, epiretinal membrane, serous retinal detachment, macular hole, and branch retinal vein occlusion. CONCLUSION: Most patients with bilateral optic disc edema and severe arterial hypertension maintained visual acuity of 20/50 or better in at least one eye.",
author = "Scott, {Ingrid U.} and Flynn, {Harry W} and Luma Al-Attar and Ganser, {Gail L.} and Aragon, {Antonio V.} and Lam, {Byron L}",
year = "2005",
month = "9",
day = "1",
language = "English",
volume = "36",
pages = "374--380",
journal = "Ophthalmic Surgery Lasers and Imaging Retina",
issn = "2325-8160",
publisher = "Slack Incorporated",
number = "5",

}

TY - JOUR

T1 - Bilateral optic disc edema in patients with severe systemic arterial hypertension

T2 - Clinical features and visual acuity outcomes

AU - Scott, Ingrid U.

AU - Flynn, Harry W

AU - Al-Attar, Luma

AU - Ganser, Gail L.

AU - Aragon, Antonio V.

AU - Lam, Byron L

PY - 2005/9/1

Y1 - 2005/9/1

N2 - BACKGROUND AND OBJECTIVE: To report clinical features and visual outcomes in patients with bilateral optic disc edema and severe systemic arterial hypertension. PATIENTS AND METHODS: Records were re viewed of patients with bilateral optic disc edema, severe arterial hypertension, and 3 or more months of follow-up evaluated at Bascom Palmer Eye Institute between 1982 and 2003. RESULTS: Sixteen patients (median age = 41 years; median follow-up = 31 months) were identified. Median blood pressure on initial eye examination was 220 mm Hg systolic and 126 mm Hg diastolic. Among all study eyes, median visual acuity was 20/55 on presentation. At the last follow-up examination, an acuity of 20/50 or better was achieved in 20 (63%) eyes; 12 (75%) patients achieved a final acuity of 20/50 or better in at least one eye. Posterior segment abnormalities at last follow-up included disc pallor (n = 16), macular star (n = 7), retinal pigment epithelial atrophy (n = 7), epiretinal membrane (n = 5), branch retinal vein occlusion (n = 4), and persistent disc edema (n = 2). Causes of final acuity of less than 20/50 included optic atrophy, epiretinal membrane, serous retinal detachment, macular hole, and branch retinal vein occlusion. CONCLUSION: Most patients with bilateral optic disc edema and severe arterial hypertension maintained visual acuity of 20/50 or better in at least one eye.

AB - BACKGROUND AND OBJECTIVE: To report clinical features and visual outcomes in patients with bilateral optic disc edema and severe systemic arterial hypertension. PATIENTS AND METHODS: Records were re viewed of patients with bilateral optic disc edema, severe arterial hypertension, and 3 or more months of follow-up evaluated at Bascom Palmer Eye Institute between 1982 and 2003. RESULTS: Sixteen patients (median age = 41 years; median follow-up = 31 months) were identified. Median blood pressure on initial eye examination was 220 mm Hg systolic and 126 mm Hg diastolic. Among all study eyes, median visual acuity was 20/55 on presentation. At the last follow-up examination, an acuity of 20/50 or better was achieved in 20 (63%) eyes; 12 (75%) patients achieved a final acuity of 20/50 or better in at least one eye. Posterior segment abnormalities at last follow-up included disc pallor (n = 16), macular star (n = 7), retinal pigment epithelial atrophy (n = 7), epiretinal membrane (n = 5), branch retinal vein occlusion (n = 4), and persistent disc edema (n = 2). Causes of final acuity of less than 20/50 included optic atrophy, epiretinal membrane, serous retinal detachment, macular hole, and branch retinal vein occlusion. CONCLUSION: Most patients with bilateral optic disc edema and severe arterial hypertension maintained visual acuity of 20/50 or better in at least one eye.

UR - http://www.scopus.com/inward/record.url?scp=26244452165&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=26244452165&partnerID=8YFLogxK

M3 - Article

C2 - 16238035

AN - SCOPUS:26244452165

VL - 36

SP - 374

EP - 380

JO - Ophthalmic Surgery Lasers and Imaging Retina

JF - Ophthalmic Surgery Lasers and Imaging Retina

SN - 2325-8160

IS - 5

ER -