{
  "abstract": "To evaluate the indications and outcomes of optical coherence tomography (OCT) scans in children referred for suspected papilloedema at a tertiary centre. And to assess the appropriateness of referrals from primary care providers.A retrospective review was conducted on all paediatric patients (<16 years) who underwent OCT scans between January 1 and December 31, 2023. Data were analysed to determine referral reasons, OCT findings, and the distinction between true optic disc oedema and pseudo-disc oedema/normal optic nerves. Clinical presentations were compared between these groups.Among 296 children, only 18 (6.1%) had true optic disc oedema, either newly diagnosed or under monitoring. In contrast, most (n=190, 64.2%) were referred by GPs or opticians to rule out papilloedema but were found to have pseudo-papilloedema or normal optic nerves. The remaining patients underwent OCT for monitoring conditions affecting the optic nerve, such as JIA, uveitis, and craniosynostosis. All 18 true optic disc oedema cases were symptomatic, presenting with headaches, vision loss, or diplopia. In contrast, most referrals that were found to not have true swelling were asymptomatic and based on fundoscopic findings, without risk factors for true optic disc oedema.Most OCT-scans for suspected papilloedema showed pseudo-papilloedema/normal discs. We recommend that asymptomatic patients with fundoscopic changes undergo a three-month monitoring period before referral, provided no symptoms develop.This would enable more effective risk stratification, ensuring urgent cases are prioritised and seen more promptly. Overall, this could reduce unnecessary referrals, optimise resources, and prioritise high-risk cases.",
  "authors": [
    {
      "affiliations": [
        "Norfolk and Norwich University Hospital, UK"
      ],
      "name": "Mohammad Ali"
    },
    {
      "affiliations": [
        "Norfolk and Norwich University Hospital, UK"
      ],
      "name": "Anas Injarie"
    }
  ],
  "title": "130314 Evaluation of optic disc findings in children undergoing OCT disc scans for suspected papilloedema in a tertiary centre",
  "uid": "71b82b4b-82f8-5d54-82dc-25e98550c471"
}