A importância da oftalmoscopia direta para o diagnóstico precoce da hipertensão intracraniana
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório do Centro Universitário Braz Cubas |
Texto Completo: | https://repositorio.cruzeirodosul.edu.br/handle/123456789/1376 |
Resumo: | Papilledema is an initially passive and painless swelling in the optical disc, often associated with increased intracranial pressure, which is combined with several causes. However, regardless of the aetiology, visual loss is the most dreadful morbidity of papilledema, and the main mechanism related to damage to the optic nerve is intraneuronal ischemia secondary to stasis of the axoplasmic flow. In this work, starting from the importance of describing and identifying papilledema early through direct ophthalmoscopy, the importance of teaching and of the mastery of the technique for medical graduation is pointed out, in addition to emphasizing or examining the fundus as an integral part of the medical examination. This work also presents the main methods of identifying papilledema and monitoring intracranial pressure. This is a literature review guided by the PRISMA recommendation. Technological advances will certainly replace direct ophthalmoscopy. However, it should be noted that this is still an important tool for the physician in the urgency and emergency environment. |
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A importância da oftalmoscopia direta para o diagnóstico precoce da hipertensão intracranianaPapiledemaHipertensão IntracranianaOftalmoscopiaFundoscopiaCNPQ::CIENCIAS DA SAUDE::MEDICINAPapilledema is an initially passive and painless swelling in the optical disc, often associated with increased intracranial pressure, which is combined with several causes. However, regardless of the aetiology, visual loss is the most dreadful morbidity of papilledema, and the main mechanism related to damage to the optic nerve is intraneuronal ischemia secondary to stasis of the axoplasmic flow. In this work, starting from the importance of describing and identifying papilledema early through direct ophthalmoscopy, the importance of teaching and of the mastery of the technique for medical graduation is pointed out, in addition to emphasizing or examining the fundus as an integral part of the medical examination. This work also presents the main methods of identifying papilledema and monitoring intracranial pressure. This is a literature review guided by the PRISMA recommendation. Technological advances will certainly replace direct ophthalmoscopy. However, it should be noted that this is still an important tool for the physician in the urgency and emergency environment.O papiledema é um inchaço no disco óptico inicialmente passivo e indolor, associado ao aumento da pressão intracraniana, o qual, por sua vez, pode estar ligado a diversas causas. Contudo, independentemente da etiologia, a perda visual é a morbidade mais temida do papiledema, e o principal mecanismo relacionado ao dano no nervo óptico é a isquemia intraneuronal secundária a estase do fluxo axoplasmático. Neste trabalho, partindo da importância de descrever e identificar precocemente o papiledema através da oftalmoscopia direta, destacam-se a relevância do ensino e o domínio da técnica para a graduação médica, além de enfatizar o exame do fundo de olho como parte integrante do exame físico, apresentando também os principais métodos de identificação do papiledema e de monitoração da pressão intracraniana. Trata-se de uma revisão bibliográfica guiada pela recomendação PRISMA. Apesar dos avanços tecnológicos, a oftalmoscopia permanece como uma importante ferramenta diagnóstica para o médico, sobretudo, no ambiente de urgência e emergência.Centro Universitário de João PessoaBrasilUNIPÊEvangelista, Isabella Wanderley de Queirogahttp://lattes.cnpq.br/4226595104369770Holanda Neto, Marcelo Abdon de2021-01-26T18:01:55Z2021-01-272021-01-26T18:01:55Z2020-07-17info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://repositorio.cruzeirodosul.edu.br/handle/123456789/1376porANDRADE, A. F. Neurotraumatologia. Rio de Janeiro: Guanabara Koogan, 2015. BRUCE, B. B. et al. Nonmydriatic ocular fundus photography in the emergency department. New England Journal of Medicine, 2011. CARNEY, N. et al. Guidelines for the management of severe traumatic brain injury. Neurosurgery, 2017. CHATZIRALLI, I. P. et al. The value of fundoscopy in general practice. The open ophthalmology journal, 2012. CHEN, J. J.; BHATTI, M. T. Papilledema. Internationalophthalmologyclinics, 2019. DAMASCENO, E. F.; DAMASCENO, N. A. P; COSTA FILHO, A. A. Ensino de oftalmologia na graduação médica: Estudo comparativo de aprendizado na oftalmoscopia direta com oftalmoscópio convencional e de campo amplo (Panoptic). RevistaBrasileira de Oftalmologia, 2009. DAWES, A. J. et al. Intracranial pressure monitoring and inpatient mortality in severe traumatic brain injury: A propensity score–matched analysis. Journal of Trauma and Acute Care Surgery, 2015. DHOOT, R.; MARGOLIN, E. Papilledema. In: StatPearls [Internet]. StatPearls Publishing, 2019. DREESBACH, M. et al. Optic Nerve Head Volumetry by Optical Coherence Tomography in Papilledema Related to Idiopathic Intracranial Hypertension. Translational Vision Science & Technology, 2020. HAYREH, S. S. Pathogenesis of optic disc edema in raised intracranial pressure. Progress in retinal and eye research, 2016. LEE, A. G.; WALL, M. Papilledema: are we any nearer to a consensus on pathogenesis and treatment?.Current neurology and neuroscience reports, 2012. MACKAY, D. D. et al. The demise of direct ophthalmoscopy: a modern clinical challenge. Neurology: ClinicalPractice, 2015. MULROY, E. et al. Forgetting the fundoscope–A case of fulminant idiopathic intracranial hypertension causing rapid visual loss. Journal of Clinical Neuroscience, 2018. NOBLE, J. et al. An analysis of undergraduate ophthalmology training inCanada.Canadian Journal of Ophthalmology, 2009. OLIVEIRA, J. M. G. Estudo e desenvolvimento de técnicas de processamento de imagem para a identificação de patologias em imagem de fundo de olho. 2012. Tese de Doutorado. OLIVEIRA, A. O. Retinógrafo coaxial não-midriático. 2017. Tese de Doutorado. Universidade de São Paulo. PATTERSON, D. F. et al. Comparison of ocular ultrasonography and magnetic resonance imaging for detection of increased intracranial pressure. Frontiers in neurology, 2018. RAMSAMY, G.; ARUNAKIRINATHAN, M.; COOMBES, A.. The essentials of fundoscopy. British Journal of Hospital Medicine, 2017. RIGI, M. et al. Papilledema: epidemiology, etiology, and clinical management. Eyeandbrain, 2015. ROJAS, S. S. O.; VEIGA, V. C. Manual de Neurointensivismo BP – A Beneficência Portuguesa de São Paulo. 2. ed. – Rio de Janeiro: Atheneu, 2018. SCHULZ, Christopher; HODGKINS, Peter. Factors associated with confidence in fundoscopy. The clinical teacher, 2014. TAMHANKAR, M. A. The papilledema dilemma.OphthalmolManag, 2015. THULASI, P. et al. Nonmydriatic ocular fundus photography among headache patients in an emergency department. Neurology, 2013. VENTURA, R. M. Papiledema: um desafio diagnóstico. 2017. Tese de Doutorado. WANG, L. et al. Ultrasonography assessments of optic nerve sheath diameter as a noninvasive and dynamic method of detecting changes in intracranial pressure. JAMA ophthalmology, 2018. YUSUF, I. H.; SALMON, J. F.; PATEL, C. K. Direct ophthalmoscopy should be taught to undergraduate medical students—yes. Eye, 2015.info:eu-repo/semantics/openAccessreponame:Repositório do Centro Universitário Braz Cubasinstname:Centro Universitário Braz Cubas (CUB)instacron:CUB2021-03-19T14:50:19Zoai:repositorio.cruzeirodosul.edu.br:123456789/1376Repositório InstitucionalPUBhttps://repositorio.brazcubas.edu.br/oai/requestbibli@brazcubas.edu.bropendoar:2021-03-19T14:50:19Repositório do Centro Universitário Braz Cubas - Centro Universitário Braz Cubas (CUB)false |
dc.title.none.fl_str_mv |
A importância da oftalmoscopia direta para o diagnóstico precoce da hipertensão intracraniana |
title |
A importância da oftalmoscopia direta para o diagnóstico precoce da hipertensão intracraniana |
spellingShingle |
A importância da oftalmoscopia direta para o diagnóstico precoce da hipertensão intracraniana Holanda Neto, Marcelo Abdon de Papiledema Hipertensão Intracraniana Oftalmoscopia Fundoscopia CNPQ::CIENCIAS DA SAUDE::MEDICINA |
title_short |
A importância da oftalmoscopia direta para o diagnóstico precoce da hipertensão intracraniana |
title_full |
A importância da oftalmoscopia direta para o diagnóstico precoce da hipertensão intracraniana |
title_fullStr |
A importância da oftalmoscopia direta para o diagnóstico precoce da hipertensão intracraniana |
title_full_unstemmed |
A importância da oftalmoscopia direta para o diagnóstico precoce da hipertensão intracraniana |
title_sort |
A importância da oftalmoscopia direta para o diagnóstico precoce da hipertensão intracraniana |
author |
Holanda Neto, Marcelo Abdon de |
author_facet |
Holanda Neto, Marcelo Abdon de |
author_role |
author |
dc.contributor.none.fl_str_mv |
Evangelista, Isabella Wanderley de Queiroga http://lattes.cnpq.br/4226595104369770 |
dc.contributor.author.fl_str_mv |
Holanda Neto, Marcelo Abdon de |
dc.subject.por.fl_str_mv |
Papiledema Hipertensão Intracraniana Oftalmoscopia Fundoscopia CNPQ::CIENCIAS DA SAUDE::MEDICINA |
topic |
Papiledema Hipertensão Intracraniana Oftalmoscopia Fundoscopia CNPQ::CIENCIAS DA SAUDE::MEDICINA |
description |
Papilledema is an initially passive and painless swelling in the optical disc, often associated with increased intracranial pressure, which is combined with several causes. However, regardless of the aetiology, visual loss is the most dreadful morbidity of papilledema, and the main mechanism related to damage to the optic nerve is intraneuronal ischemia secondary to stasis of the axoplasmic flow. In this work, starting from the importance of describing and identifying papilledema early through direct ophthalmoscopy, the importance of teaching and of the mastery of the technique for medical graduation is pointed out, in addition to emphasizing or examining the fundus as an integral part of the medical examination. This work also presents the main methods of identifying papilledema and monitoring intracranial pressure. This is a literature review guided by the PRISMA recommendation. Technological advances will certainly replace direct ophthalmoscopy. However, it should be noted that this is still an important tool for the physician in the urgency and emergency environment. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-07-17 2021-01-26T18:01:55Z 2021-01-27 2021-01-26T18:01:55Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
https://repositorio.cruzeirodosul.edu.br/handle/123456789/1376 |
url |
https://repositorio.cruzeirodosul.edu.br/handle/123456789/1376 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
ANDRADE, A. F. Neurotraumatologia. Rio de Janeiro: Guanabara Koogan, 2015. BRUCE, B. B. et al. Nonmydriatic ocular fundus photography in the emergency department. New England Journal of Medicine, 2011. CARNEY, N. et al. Guidelines for the management of severe traumatic brain injury. Neurosurgery, 2017. CHATZIRALLI, I. P. et al. The value of fundoscopy in general practice. The open ophthalmology journal, 2012. CHEN, J. J.; BHATTI, M. T. Papilledema. Internationalophthalmologyclinics, 2019. DAMASCENO, E. F.; DAMASCENO, N. A. P; COSTA FILHO, A. A. Ensino de oftalmologia na graduação médica: Estudo comparativo de aprendizado na oftalmoscopia direta com oftalmoscópio convencional e de campo amplo (Panoptic). RevistaBrasileira de Oftalmologia, 2009. DAWES, A. J. et al. Intracranial pressure monitoring and inpatient mortality in severe traumatic brain injury: A propensity score–matched analysis. Journal of Trauma and Acute Care Surgery, 2015. DHOOT, R.; MARGOLIN, E. Papilledema. In: StatPearls [Internet]. StatPearls Publishing, 2019. DREESBACH, M. et al. Optic Nerve Head Volumetry by Optical Coherence Tomography in Papilledema Related to Idiopathic Intracranial Hypertension. Translational Vision Science & Technology, 2020. HAYREH, S. S. Pathogenesis of optic disc edema in raised intracranial pressure. Progress in retinal and eye research, 2016. LEE, A. G.; WALL, M. Papilledema: are we any nearer to a consensus on pathogenesis and treatment?.Current neurology and neuroscience reports, 2012. MACKAY, D. D. et al. The demise of direct ophthalmoscopy: a modern clinical challenge. Neurology: ClinicalPractice, 2015. MULROY, E. et al. Forgetting the fundoscope–A case of fulminant idiopathic intracranial hypertension causing rapid visual loss. Journal of Clinical Neuroscience, 2018. NOBLE, J. et al. An analysis of undergraduate ophthalmology training inCanada.Canadian Journal of Ophthalmology, 2009. OLIVEIRA, J. M. G. Estudo e desenvolvimento de técnicas de processamento de imagem para a identificação de patologias em imagem de fundo de olho. 2012. Tese de Doutorado. OLIVEIRA, A. O. Retinógrafo coaxial não-midriático. 2017. Tese de Doutorado. Universidade de São Paulo. PATTERSON, D. F. et al. Comparison of ocular ultrasonography and magnetic resonance imaging for detection of increased intracranial pressure. Frontiers in neurology, 2018. RAMSAMY, G.; ARUNAKIRINATHAN, M.; COOMBES, A.. The essentials of fundoscopy. British Journal of Hospital Medicine, 2017. RIGI, M. et al. Papilledema: epidemiology, etiology, and clinical management. Eyeandbrain, 2015. ROJAS, S. S. O.; VEIGA, V. C. Manual de Neurointensivismo BP – A Beneficência Portuguesa de São Paulo. 2. ed. – Rio de Janeiro: Atheneu, 2018. SCHULZ, Christopher; HODGKINS, Peter. Factors associated with confidence in fundoscopy. The clinical teacher, 2014. TAMHANKAR, M. A. The papilledema dilemma.OphthalmolManag, 2015. THULASI, P. et al. Nonmydriatic ocular fundus photography among headache patients in an emergency department. Neurology, 2013. VENTURA, R. M. Papiledema: um desafio diagnóstico. 2017. Tese de Doutorado. WANG, L. et al. Ultrasonography assessments of optic nerve sheath diameter as a noninvasive and dynamic method of detecting changes in intracranial pressure. JAMA ophthalmology, 2018. YUSUF, I. H.; SALMON, J. F.; PATEL, C. K. Direct ophthalmoscopy should be taught to undergraduate medical students—yes. Eye, 2015. |
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