• Indian J Ophthalmol · Oct 2017

    Case Reports

    Bilateral disc drusen in a diabetic patient simulating diabetic papillopathy as a cause of disc edema.

    • Rohan Chawla, Soman Nair, Pradeep Venkatesh, Satpal Garg, and Kanhaiya Mittal.
    • Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
    • Indian J Ophthalmol. 2017 Oct 1; 65 (10): 1051-1053.

    AbstractBilateral optic disc edema in a diabetic patient may be caused by diabetic papillopathy. We herein report on a patient with bilateral optic disc drusen simulating diabetic papillopathy. A 55-year-old patient with type 2 diabetes presented with decreased vision of 1-month. Diabetic papillopathy was initially considered as there was disc edema in both eyes with focal hemorrhages at the disc margin and mild visual loss. Ultrasound of the optic nerve head revealed optic disc drusen in both eyes and this was also confirmed by the control photograph. Optic nerve head drusen should be considered in the differential diagnosis of a diabetic patient presenting with disc edema.

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