063  Improving service provision for patients with suspected idiopathic intracranial hypertension in a joint neuro-ophthalmology clinic. Issue 6 (27th May 2022)

• Record Type: Journal Article
• Authors: Dokal, Kitt; O'hanlon, Ciaran; Castelhano, Rute; Yiin, Gabriel; Hinze, Stephan; Pandit, Jyotin; Morrish, Paul; Paul, Nicola
• Is Part Of: Journal of neurology, neurosurgery and psychiatry. Volume 93:Issue 6(2022)
• Page Start: A120
• Page End: A120
• Publication Date: 2022-05-27
• Subjects: Neurology -- Periodicals; Nervous system -- Surgery -- Periodicals; Psychiatry -- Periodicals; 616.8
• DOI: 10.1136/jnnp-2022-ABN.388
• Languages: English
• ISSNs: 0022-3050

Abstract

Abstract : Introduction: Care of patients with suspected Idiopathic Intracranial Hypertension (IIH) involves neurolo- gists and ophthalmologists, however this can be difficult to co-ordinate. Consensus guidelines suggest all patients with suspected IIH should have weight, visual fields, neuroimaging and a CSF opening pressure. The aim of our study was to determine adherence to consensus guidelines. Methods: We assessed medical notes of consecutive patients attending the new joint neuro-ophthalmol- ogy clinic in the Great Western Hospital, Swindon between 1st September–31st December 2020. Due to the Covid-19 pandemic a neurologist was not always present. Results: Of 38 patients attending the clinic with suspected IIH, 35(92%) were female. 29(76%) had weight recorded; 14(37%) patients had BMI recorded, 12(32%) had BP recorded; 36(95%)had visual fields recorded, 12(32%) and 17(45%) respectively had whether neuroimaging or lumbar puncture were required. 23(61%) had weight management discussed, 22(58%) had a medication review discussed. Conclusion: Documentation of weight, BMI, BP, investigation results and management discussions could be improved in the joint neuro-ophthalmology clinic. We aim to address this by introducing an "IIH clinic checklist" for use by clinicians and patients to help improve adherence to consensus guidelines. [e-mail]