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A week in neuro-ophthalmology: the Singapore scene.

Author

Karen B. Reyes,
James F. Cullen

Related Institution

Tan Tock Seng Hospital Singapore

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Publication Information

Publication Type
Journal
Publication Sub Type
Journal Article, Original
Title
Philippine Journal of Ophthalmology
Frequency
Semi-Annual
Publication Date
July-December 2010
Volume
35
Issue
2
Page(s)
70-72

Abstract

Objective

To report the frequency of neuro-ophthalmologic cases seen over one working week by a senior neuro-ophthalmologist in Singapore and to determine a pattern in the incidence of neuro-ophthalmic diseases.
Methods

A retrospective review of 57 consecutive neuro-ophthalmologic cases seen by one senior neuro-ophthalmologist from June 14 to 18, 2010 was done. All patients underwent a complete neuro-ophthalmologic examination. Demographic data and clinical diagnoses were gathered.
Results

A total of 57 patients were seen. Thirty-one percent (18) of these patients were new consultations while the remaining 61% (39) were follow-up visits. Fifty-two percent were females (30) with a mean age of 53 years while 47% were males (27) with a mean age of 49 years. Nineteen cases involved disorders of the optic nerve followed by disorders of ocular motility (11), optic chiasm, visual pathways, and/or visual cortex (14). Among the cases involving the optic nerve, 5 were ischemic optic neuropathy. In respect to disorders of ocular motility, ocular myasthenia gravis (n=5) was the most common condition seen. Pituitary adenomas comprised the bulk of the disorders of the optic chiasm (4). The remaining neuro-ophthalmic cases were almost evenly distributed. A very rare case of Froin's syndrome was also seen.
Conclusion

Overall, during the five-day neuro-ophthalmologic clinic, majority of cases were ischemic in nature, reminding readers that systemic diseases, such as hypertension, diabetes mellitus, hyperlipidemia, commonly manifest in the eye. Hence, better systemic control of these diseases is necessary.

References

1. Lim, SA , Wong, WL , Fu, E , et al, . "The incidence of neuro-ophthalmic diseases in Singapore: a prospective study in public hospitals" Ophthalmic Epidemiol 16(2): 65-73, March 2009-April 2009. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/19353393
2. Wing Lok, AU , Asha, DAS , Helen, TL . "Myasthenia gravis in Singapore" Neurol J Southeast Asia 8, 35-40, 2003. Retrieved from: http://www.neurology-asia.org/articles/20031_035.pdf
3. Das, A , Chapman, CAT , Yap, WM . "Histological subtypes of symptomatic central-nervous-system tumors in Singapore" J Neurol Neurosurg Psychiatry 68, 372-374, 2000. Retrieved from: http://jnnp.bmj.com/content/68/3/372.full
4. Jane, J A Jr, Laws, E R Jr. "Surgical management of pituitary adenomas" Sing Med J 43(6): 318-323, 2002. Retrieved from: http://www.sma.org.sg/smj/4306/4306ra1.pdf
5. Greenfield, JG . "On Froins's syndrome, and its relation to allied conditions in the cerebrospinal fluid" J Neurol Psychopathol 2(6): 105–141, August 1921. Retrieved from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1067967/

Physical Location

LocationLocation CodeAvailable FormatAvailability
Philippine Academy of Ophthalmology Fulltext External Link (View)
Philippine Academy of Ophthalmology Abstract External Link (View)
Philippine Council for Health Research and Development Library Box No. 62 Fulltext Print Format

 
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