Neuro-Ophthalmology at a Tertiary Eye Care Centre in India

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Title Neuro-Ophthalmology at a Tertiary Eye Care Centre in India
Creator Rebika Dhiman, MD; Digvijay Singh, MD; Shiva P. Gantayala, MD; Vaitheeswaran L. Ganesan, MD; Pradeep Sharma, MD; Rohit Saxena, MD, PhD
Affiliation Strabismus and Neuro-ophthalmology Services, Dr. R. P. Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
Abstract Neuro-ophthalmology as a specialty is underdeveloped in India. The aim of our study was to determine the spectrum and profile of patients presenting to a tertiary eye care center with neuro-ophthalmic disorders. A retrospective hospital-based study was conducted, and records of all patients seen at the neuro-ophthalmology clinic of Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, over a 1-year period were retrieved and evaluated. Of a total of 30,111 patients referred to various specialty clinics in a span of 1 year, 1597 (5%) were referred for neuro-ophthalmology evaluation. The mean patient age was 30.8 ± 19.5 years, with a male dominance (M:F = 2.02:1). Among these patients, optic nerve disorders were noted in 63.8% (n = 1,020), cranial nerve palsy in 7% (n = 114), cortical visual impairment in 6.5% (n = 105), and others (eye/optic nerve hypophasia, blepharospasm, and optic disc drusen) in 6% (n = 95). Among the patients with optic nerve disorders, optic neuropathy without disc edema/(traumatic optic neuropathy, hereditary, tumor-related, retrobulbar neuritis, toxic, and idiopathic) was noted in 42.8% (n = 685) and optic neuropathy with disc edema (ischemic optic neuropathy, papilledema, post-papilledema optic atrophy, papillitis, neuroretinitis, and inflammatory optic neuropathy) in 20.9% (n = 335). Sixteen percent of patients (n = 263) were incorrect referrals. The neuro-ophthalmic clinic constitutes a significant referral unit in a tertiary eye care center in India. Traumatic and ischemic optic neuropathies are the most common diagnoses. Neuro-ophthalmology requires further development as a subspecialty in India to better serve the nation's population.
Subject Adolescent; Adult; Aged; Aged, 80 and over; Child; Child, Preschool; Diagnostic Techniques, Ophthalmological; Female; Humans; India; Infant; Male; Middle Aged; Neurology / trends; Ophthalmology / trends; Optic Disk / pathology; Optic Nerve / pathology; Optic Nerve Diseases / diagnosis; Optic Nerve Diseases / physiopathology; Outcome Assessment, Health Care / methods; Referral and Consultation; Retrospective Studies; Tertiary Care Centers; Visual Acuity; Young Adult
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Date 2018-09
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
Source Journal of Neuro-Ophthalmology, September 2018, Volume 38, Issue 3
Collection Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management © North American Neuro-Ophthalmology Society
ARK ark:/87278/s6wb0b5d
Setname ehsl_novel_jno
ID 1500803
Reference URL https://collections.lib.utah.edu/ark:/87278/s6wb0b5d
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