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S. Madill, D. Dorrell; Comparing Field Assessment with Sequential Disc Photographs for the Follow-up of Pseudotumour Cerebri . Invest. Ophthalmol. Vis. Sci. 2003;44(13):610.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: To compare visual function with field assessment, colour visions and sequential disc photographs in patients with Pseudotumour Cerebri. Methods: The notes of 36 patients (ages at presentation from 21 to 52) with Pseudotumour cerebri and follow-up ranging from 2 years and 2 months to 10 years and 2 months (average 5 years and 8 months) were reviewed retrospectively. Results: Of 72 eyes, 37% presented with acuity of 20/30 or worse. 97% had 20/20 or better at last review. 60% presented with a field defect. 45% of all field defects was enlargement of the blindspot. At last review, 69% of eyes had full and reliable automated static threshold fields. Disc photographs were reviewed and graded independently of the patients' notes. In 79% disc grading improved. Conclusions: There is no simple association between the degree of disc swelling secondary to raised intracranial pressure and visual function. However, on retrospective review of our group of patients, we found sequential disc photographs to be as sensitive in monitoring disease progression as field assessment.
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