Diabetic papillopathy is a disorder of that optic disc that may be encountered in Type I or Type II diabetes. It appears to be a local vasculopathy of the optic disk. A patient with diabetic papillopathy may be at increased risk for diabetic retinopathy.


Clinical features:

(1) edema of the optic disk in one or both eyes

(2) no or minimal impairment of optic nerve function (visual acuity)

(3) it may occur with or without diabetic retinopathy

(4) resolves spontaneously within a few weeks or months without treatment


There is no evidence of optic atrophy after the condition has resolved. Visual acuity may show no, minimal or a mild deficit.


Differential diagnosis:

(1) papilledema

(2) optic disk neovascularization


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