The Optic Canal Size Is Associated With the Severity of Papilledema and Poor Visual Function in Idiopathic Intracranial Hypertension

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Title The Optic Canal Size Is Associated With the Severity of Papilledema and Poor Visual Function in Idiopathic Intracranial Hypertension
Creator Samuel Bidot, MD; Lindsay Clough, BA; Amit M. Saindane, MD; Nancy J. Newman, MD; Valérie Biousse, MD; Beau B. Bruce, MD, PhD
Affiliation Departments of Ophthalmology (SB, LC, NJN, VB, BBB), Radiology and Imaging Science (AMS), Neurology (NJN, VB, BBB), and Neurological Surgery (NJN), Emory University School of Medicine, Atlanta, Georgia; and Department of Epidemiology (BBB), Rollins School of Public Health and Laney Graduate School, Emory University, Atlanta, Georgia
Abstract Vascular risk factors are increasing rapidly in the Middle East. Growing inactivity and obesity have contributed to an epidemic of Type 2 diabetes mellitus (DM) in the Arab population. Microvascular palsies of the third, fourth, and sixth cranial nerves, which occur in an isolated manner, are relatively common in patients with DM, hypertension, or other vascular risk factors.; ; In this retrospective analysis, patients with diabetes with microvascular palsies were assessed for the prevalence of diabetic retinopathy (DR). We compared these data with the prevalence of DR in the general population of diabetics in Saudi Arabia and to a similar published study done in an American population.; ; In total, 126 patients with diabetes were included in the study. The sixth nerve was most frequently involved in 67 patients (53%). Seventy-seven patients (61%) had DR, compared with 49 (39%) without DR. The prevalence of DR in the general population of Saudi patients with diabetes ranged from 30% to 36.1%.; ; Our study demonstrated a higher prevalence of DR in patients with microvascular palsies compared with the general population of patients with diabetes in the Arab population. This is in contrast to a previous study in an American population. Our results might be secondary to differences between the 2 populations, in particular, the continued increase in the prevalence of vascular risk factors (mainly diabetes) and poor control of these risk factors in the Middle East.
Subject Abducens Nerve Diseases; Adult; Older people; Older people, 80 and over; Diabetes Mellitus; Diabetic Retinopathy; Female; Humans; Male; Middle Older people; Prevalence; Retrospective Studies; Risk Factors; Saudi Arabia
OCR Text Show
Date 2016-06
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
Source Journal of Neuro-Ophthalmology, June 2016, Volume 36, Issue 2
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/s6tf3rvw
Setname ehsl_novel_jno
ID 1276485
Reference URL https://collections.lib.utah.edu/ark:/87278/s6tf3rvw
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