Pseudopapilledema of Optic Disc

Pseudopapilledema of Optic Disc

The pressure of the cerebrospinal fluid within the brain is termed as intracranial pressure. An increase in the intracranial pressure (ICP) leading to swelling of the optic disc is known as papilledema. Pseudopapilledema of optic disc is a condition in which the optic disc looks apparently swollen; however, there is no underlying increase in ICP. The condition may be unilateral or bilateral.

Causes and risk factors

Optic disc drusen is a common cause of pseudopapilledema of optic disc. Other causes include myelination or abnormal positioning of the optic nerve (tilted disc), hypermetropia, and tumors or infections of the optic nerve.

Clinical presentation

Most patients with pseudopapilledema do not develop any symptoms. However, in the presence of optic disc drusen, the patient may develop gradual loss of vision.

Investigations

Pseudopapilledema of optic disc can be diagnosed on the basis of an ophthalmoscopic examination.

An ultrasonography, a CT scan or fluorescein angiography may be performed to rule out optic disc drusen and other underlying causes.

Treatment

There is no treatment necessary for pseudopapilledema. The patient, however, needs periodic monitoring in order to look for signs of other eye problems.

Complications

When associated with drusen of optic disc, a pseudopapilledema can lead to progressive loss of vision and eventually blindness.

When to contact a doctor

Contact a doctor as soon as you experience any eye symptoms.

Systems involved

Ophthalmology, CNS

Organs involved

Eyes, optic nerve

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