Volume : X, Issue : VII, July - 2020

A STUDY ON OCULAR MANIFESTATIONS IN INTRACRANIAL SPACE OCCUPYING LESIONS

Dr Santana Sarmah

Abstract :

AIM: To study the various Ocular manifestations in Intracranial Space Occupying Lesions(SOL). Objectives are: 1) To determine the occurrence of ocular manifestations, 2) To correlate ocular manifestations and site, 3) To find visual field changes associated with Intracranial SOLs. MATERIAL AND METHODS: The study was conducted for a period of one year. A total 52 confirmed cases of Intracranial Space Occupying Lesions (SOLs) on the basis of clinical diagnosis of ain tumor by magnetic resonance imaging (MRI) and World Health Organization (WHO) classification of Primary Brain Tumors in the year 2016. RESULTS: In our study ocular manifestations were found in all cases of SOLs. Out of 52 patients, 51 patients had ocular problems & one patient did not have. Thus the incidence of ocular manifestations in Intracranial SOLs found to be 98.1%. In this study, the age of the patients ranged from 15–65 years. Maximum preponderance was seen in age group of 36–45 years, around 36.5% patients. The mean age of the patients is 40.4years. Out of 52 patients, 30 were males & 22 were females. Male preponderance was seen more around 57.69%.In this study, ocular manifestations involving in right eye in 18 pts, left eye in 16 pts, while bilateral involvement was seen in 18 patient. Thus ocular manifestations were found in 70 eyes of 52 patients. In the present study, visual acuity deterioration is maximum in range of more than 6/60, involving 42.3%. The RAPD is seen in right eye as 23.1%, in left eye as 19.2% & bilaterally in 19.2% of patients. In this study, perimetry (field of vision) was normal in 25% and lost in 11.5%, while abnormality detected in 5.8%. The study showed Optic atrophy in 15.4% patients where 38.5% were normal. In this study, tumors are mostly seen arising from frontal lobe around 32.7% of the patients. CONCLUSION: Visual impairment occurs in numerous patients with intracranial SOLs and may be the presenting symptom. Patients with intracranial SOLs may develop disturbances of visual sensory function and disorders of ocular system. These disturbances may precede or occur coincidentally with neurologic manifestations.

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Article: Download PDF    DOI : 10.36106/ijar  

Cite This Article:

A STUDY ON OCULAR MANIFESTATIONS IN INTRACRANIAL SPACE OCCUPYING LESIONS, Dr Santana Sarmah INDIAN JOURNAL OF APPLIED RESEARCH : Volume-10 | Issue-7 | July-2020

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