关键词: blindness disorders ischemic optic neuropathy neuro-ophthalmology ocular morbidity

Mesh : Humans Iraq / epidemiology Female Male Adult Cross-Sectional Studies Prospective Studies Eye Diseases / epidemiology Middle Aged Adolescent Young Adult Child Aged Ophthalmology Incidence Child, Preschool

来  源:   DOI:10.25122/jml-2023-0499   PDF(Pubmed)

Abstract:
Neuro-ophthalmic disorders are often documented individually for each illness, with little data available on their overall incidence and pattern. The overall incidence of neuro-ophthalmic illnesses in Iraq is still not recorded. This study aimed to evaluate the clinical, demographic, and etiological features of patients seeking consultation at an Iraqi neuro-ophthalmology clinic. A prospective cross-sectional observational research was conducted at the Janna Ophthalmic Center in Baghdad, Iraq. The center serves a diverse patient population from various governorates. All newly diagnosed patients with neuro-ophthalmic disorders who visited the neuro-ophthalmological clinic, regardless of gender or age group, were included. The neuro-ophthalmologist established a diagnosis for each case by reviewing the patient\'s medical history, doing physical examinations, administering specific tests, and, in certain cases, using neuroimaging methods. The duration of the study was extended from March 2021 to November 2022. Among the 6440 patients evaluated, 613 cases were confirmed at the neuro-ophthalmology clinic. Ischemic optic neuropathy (NAION, AION, and PION) was the most prevalent diagnosis, accounting for 17.61% of newly reported cases in the field of neuro-ophthalmology. This was followed by sixth nerve palsy. Diabetes mellitus affected 42.7% of the cases, followed by hypertension, which affected 39.3% of the participants. The incidence of neuro-ophthalmic diseases tended to be high. Ischemic optic neuropathy and sixth nerve palsy, traumatic/compressive optic neuropathy, and papilledema were the most common neuro-ophthalmic disorders reported.
摘要:
神经眼科疾病通常针对每种疾病单独记录,关于它们的总体发病率和模式的数据很少。伊拉克神经眼科疾病的总体发病率仍然没有记录。本研究旨在评估临床,人口统计学,以及在伊拉克神经眼科诊所寻求咨询的患者的病因特征。在巴格达的Janna眼科中心进行了一项前瞻性横断面观察研究,伊拉克。该中心为来自各省的不同患者提供服务。所有新诊断的患有神经眼科疾病的患者都访问了神经眼科诊所,无论性别或年龄组,包括在内。神经眼科医生通过回顾患者的病史为每个病例建立了诊断,做身体检查,管理特定的测试,and,在某些情况下,使用神经成像方法。研究时间从2021年3月延长至2022年11月。在评估的6440名患者中,在神经眼科门诊确诊613例。缺血性视神经病变(NAION,AION,和PION)是最普遍的诊断,占神经眼科领域新报告病例的17.61%。其次是第六神经麻痹。糖尿病影响了42.7%的病例,其次是高血压,影响了39.3%的参与者。神经眼科疾病的发病率往往很高。缺血性视神经病变和第六神经麻痹,外伤性/压缩性视神经病变,和乳头水肿是最常见的神经眼科疾病。
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