Published: 2021-01-29

Analysis of posterior segment findings in acute encephalitic syndrome in a tertiary care institute

Parmita Dutta, Arup Deuri


Background: Objective of the study was to determine the posterior segment findings in cases of Acute Encephalitic Syndrome(AES) in patients attending the paediatrics department of Assam Medical College.

Methods: A prospective study of 36 cases of AES attending the paediatrics department of Assam Medical College during a period of 6 months was taken into consideration.

Results: 36 cases of AES were studied during a period of 6 months. The maximum number of cases was around 5 years (41.6%).The number of cases in males were more than in females (63.8%vs 36.1%) .The posterior segment findings were papilledema (44.4%), optic disc hyperemia (52.7%),and retinal hemorrhages(3%).

Conclusions: Analysis of posterior segment findings helps in early detection and preventing the sequalae and complications and therefore helps in saving the eye.


AES, Optic disc hyperemia, Posterior segment findings, Papilledema

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Jmor F, Emsley HC, Fischer M, Solomon T, Lewthwaite P. The incidence of acute encephalitis syndrome in Western industrialised and tropical countries. Virology. 2008;5(1):134.

Potharaju NR. Incidence rate of acute encephalitis syndrome without specific treatment in India and Nepal. Indian J Comm Med. 2012;37(4):240.

Dev V, Sharma VP, Barman K. Mosquito-borne diseases in Assam, north-east India: current status and key challenges WHO South-East. Asia J Public Health. 2015;4(1):20-9.

Poneprasert B. Japanese encephalitis in children in northern Thailand. Southeast Asian J Tropical Med Public Health. 1989;20(4):599-603.

Pachapure S, Mahesh BS, Achar T. Occurence of ocular fundal changes in cases of Infective meningitis and meningoencephalitis in our hospital. IOSR Journal Dental Med Sci. 2014;13(1):87-93.

Yadav SR, Chaudhary A, Yadav D, Kushwaha PK, Gupta S. Ocular findings in encephalitis patients: a clinical study. Ophthalmol Allied Sci. 2017;3(1):46-9.

Hellgren K, Fowler Å, Rydberg A, Wickström R. Ophthalmological findings in children with encephalitis. Acta Ophthalmologica. 2017;95(1):66-73.

Reddy R, Munoli K, Patil A. Study of ophthalmic manifestations in tubercular meningitis patients. Int J Ocular Oncology Oculoplasty. 2019;5(1):5-11.

Sinha MK, Garg RK, Anuradha HK, Agarwal A, Singh MK, Verma R, Shukla R. Vision impairment in tuberculous meningitis: predictors and prognosis. Journal of the neurological sciences. 2010;290(1-2):27-32.

Chaudhary M, Shah DN, Sharma PR. Ocular manifestations of meningitis in children. J Nepal Paed Soc. 2012;32(2):136-41.