Vision Wise Eye Care

  • Home
  • Vision Wise Eye Care

Vision Wise Eye Care Conducting eye examinations and providing advice and solutions for all eye ailments

10/07/2025

Accommodative Esotropia

❤️
09/07/2025

❤️

07/06/2025
PAPILLOEDEMA is swelling of the optic disc (the point where the optic nerve enters the retina), due to increased intracr...
07/06/2025

PAPILLOEDEMA is swelling of the optic disc (the point where the optic nerve enters the retina), due to increased intracranial pressure (ICP). It is usually bilateral and not associated with visual loss initially.

🔍 Causes of Papilloedema
★Papilloedema is always due to raised intracranial pressure, which can occur from:
★Brain tumors or space-occupying lesions
★Cerebral hemorrhage or hematoma
★Meningitis or encephalitis
★Idiopathic Intracranial Hypertension (IIH) (pseudotumor cerebri)
★Hydrocephalus
★Cerebral venous sinus thrombosis

🧠 Pathophysiology
★Raised ICP → compresses the optic nerve sheath → impairs axoplasmic flow → causes stasis of axoplasm → leads to disc swelling.

👁️‍🗨️ Clinical Features
Symptoms (related to increased ICP):
★Headache (often worse in the morning)
★Nausea and vomiting
★Transient visual obscurations (brief loss of vision with position changes)
★Diplopia (due to 6th nerve palsy)

Ophthalmoscopic Signs:
★Blurred disc margins (especially superior and inferior)
★Hyperemic (reddish) optic disc
★Elevated disc
★Loss of venous pulsation
★Engorged retinal veins
★Peripapillary hemorrhages
★Cotton wool spots (occasionally)

⚠️ Stages of Papilloedema
1. Early (incipient): mild blurring of disc margins
2. Established (acute): full swelling, hemorrhages, exudates
3. Chronic: disc becomes gray and elevated; hemorrhages resolve
4. Atrophic (late): optic atrophy, visual loss

🔬 Diagnosis
★Fundoscopy: reveals optic disc swelling
★Neuroimaging: CT/MRI to rule out space-occupying lesion
★Lumbar puncture: to measure CSF pressure (only after imaging)
★Visual field testing: enlarged blind spot, possible peripheral constriction
★OCT (Optical Coherence Tomography): quantifies nerve fiber layer thickening

🩺 Management
★Treat underlying cause (e.g., tumor, infection)
★Weight loss and acetazolamide in idiopathic intracranial hypertension
★Surgical interventions if needed (e.g., shunt, optic nerve sheath fenestration)
★Avoid lumbar puncture before imaging, due to risk of brain herniation

14/01/2025

Experience high-quality eyeglass making and comprehensive eye exams at our practice.
Visit - No.61, Rajagiriya Rd, Rajagiriya.
☎️ 0763363126 / 0710588552

Don't miss this video .
16/10/2024

Don't miss this video .

16/10/2024
👇👇
06/10/2024

👇👇

ඇසේ රෝග පෙන්විය යුත්තේ කාටද ?17 වන විද්‍යාත්මක සැසිවාරය ඔන්ලයින් හරහා ඔබටත් විවෘත්තයි.....

Address

No. 61, Rajagiriya Road

Opening Hours

Monday 15:00 - 20:30
Tuesday 15:00 - 20:30
Wednesday 03:00 - 20:30
Thursday 15:00 - 20:30
Friday 15:00 - 20:30
Saturday 10:30 - 20:30
Sunday 10:30 - 15:00

Telephone

+94763363126

Website

Alerts

Be the first to know and let us send you an email when Vision Wise Eye Care posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to Vision Wise Eye Care:

Shortcuts

  • Want your practice to be the top-listed Clinic?

Share

Share on Facebook Share on Twitter Share on LinkedIn
Share on Pinterest Share on Reddit Share via Email
Share on WhatsApp Share on Instagram Share on Telegram