The Use of Mixed Fundus Pictures and Perimetry for the Evaluation of Sufferers Referred for Intracranial Hypertension or Observe-Up of the Analysis in a Tertiary Headache Center

Objectives:

Idiopathic intracranial hypertension (IIH) is characterised by elevated intracranial strain and papilledema. If left untreated, it may result in imaginative and prescient loss, and, well timed detection of papilledema is of paramount significance. Direct ophthalmoscopy could be tough to carry out and interpret for non-ophthalmologists. Therefore, this examine aimed to research the affect of mixed fundus pictures and perimetry (CFPP) on sufferers with suspicion of new-onset IIH or IIH follow-up.

Method:

The examine was based mostly on a cross-sectional, retrospective chart evaluation of all sufferers who underwent CFPP examination attributable to suspicion of new-onset IIH or IIH follow-up on the Danish Headache Center between 2020 and 2023.

Results:

258 sufferers had been included for evaluation, 92% females aged 17-72 years (imply age: 35.8 years). CFPP was carried out attributable to medical suspicion of new-onset IIH (38%), worsening/relapse of IIH (24%), assurance verify in recognized IIH (19%), subjective signs (5%) or different causes (14%). Overall, 62% had regular fundus photographs, 21% had optic disc edema, 10% had different coincidental findings within the retina and/or optic disc, and 6% had an optic disc standing unchanged from earlier examinations. The use of CFPP confirmed the suspicion of IIH in 8% of sufferers and disproved it in 40% of sufferers. The CFPP outcomes modified the therapy plan in 28% and brought on referral to a neuroophthalmologist in 16% of sufferers.

Conclusion:

CFPP can be utilized as a time- and resource-saving screening device in headache sufferers with suspicion of new-onset IIH or follow-up in a tertiary neurology setting.