Ashfaq-ur Rehman, Usman Attique, Afzal Qadir, Abdul Aziz, Mohammad Israr, Amir Shehzad.
Papilledema in Meningitis in Paediatric patients Admitted at a Tertiary Care Hospital, Peshawar.
Al-Shifa J Ophthalmol Jan ;14(2):80-5.

To determine the frequency of papilledema in meningitis in child age group admitted in paediatric unit, Tertiary Care Hospital, Peshawar. Subjects and Methods: A prospective descriptive study was conducted in Hayatabad Medical Complex, Peshawar for a period of 9 months from January 2017 to September 2017. Fundi of 178 patients admitted in paediatric units and clinically diagnosed as having meningitis were thoroughly examined either with the help of direct ophthalmoscope or slit-lamp. The details of patients including age, gender, causes and types of infection, grades of papilledema were evaluated. Results: A total of 178 patients with meningitis had different aetiologies based on lumber puncture including; 43 % patients having bacterial meningitis, 33% TB meningitis and 15 % having viral meningitis. Papilledema was observed in 5.61 % of patients. Early grade papilledema was observed the most common (6 cases) of 10 observed cases. Conclusion: An accurate clinical appreciation of papilledema is very important both on part of ophthalmologists and paediatricians to avoid expensive, anxiety-provoking additional testing and to reduce the risk of systemic and visual sequelae.

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