How is Pseudopapilledema treated?
There is no treatment necessary for pseudopapilledema if it is related to a congenital variant. If the pseudopapilledema appearance is due to a peripapillary tumor, the direction of treatment should be at the tumor as appropriate.
How is Pseudopapilledema diagnosed?
Pseudopapilledema may be unilateral or bilateral, but almost all cases of papilledema are bilateral. An extensive workup is usually unnecessary, and an experienced general ophthalmologist or neuro-ophthalmologist can correctly diagnose pseudopapilledema via an ophthalmoscopic examination.
What is ONHD?
Optic nerve head drusen (ONHD) are globular, often calcified, hyaline bodies located within the optic nerve head. The incidence of ONHD is 3.4 per 1000 in clinical studies; however, a higher rate of 10 to 20 per 1000 has been reported in autopsy studies.
Is Pseudopapilledema serious?
Pseudopapilledema is a fairly common finding in ophthalmic practice, and in many cases, the diagnosis is straightforward. However, an accurate diagnosis can challenge the most seasoned clinicians, and missing true papilledema can result in life-threatening or vision-threatening consequences.
Can Pseudopapilledema turn into Papilledema?
The differential diagnosis of pseudopapilledema includes causes of true papilledema and causes of optic disc swelling without increased intracranial pressure. Causes of papilledema: Expanding mass lesion (e.g. brain tumor)
Is optic nerve swelling serious?
Papilledema is swelling of your optic nerve, which connects the eye and brain. This swelling is a reaction to a buildup of pressure in or around your brain that may have many causes. Often, it’s a warning sign of a serious medical condition that needs attention, such as a brain tumor or hemorrhage.
Can Pseudopapilledema cause headaches?
Patients with true papilledema will often present with progressive headaches, nausea, vomiting, and other neurologic symptoms such as positional headaches, transient visual obscurations (TVOs), pulsatile synchronous tinnitus, and binocular diplopia.
What buried drusen?
Obvious drusen are usually present on the surface of the optic nerve. Some optic nerve drusen are “buried.” Buried drusen can be more difficult to observe and diagnosis may require the use of imaging (ultrasound or CT scan), photography (fluorescein angiography/autoflourescence), or optical coherence tomography (OCT).
What is Pseudopapilledema of optic disc?
Pseudopapilledema is defined as anomalous elevation of one or both optic discs without edema of the retinal nerve fiber layer. Papilledema, on the other hand, is a swelling of the optic disc due to increased intracranial pressure.
Can drusen make you go blind?
Drusen do not cause total blindness, but can result in central vision loss. Central vision allows us to focus on details straight ahead. People with more soft and larger drusen, are at higher risk of experiencing this type of vision loss in the future than people with fewer and smaller drusen.
Can optic nerve swelling go away on its own?
How is optic neuritis treated? In some cases, you may not need any treatment for optic neuritis. After a few weeks, it may go away on its own and your vision will return to normal. This is more likely if you don’t have another health condition that has triggered the optic neuritis.
What is the meaning of papilledema?
Summary Summary. Papilledema is a condition in which increased pressure in or around the brain (intracranial pressure) causes swelling of the part of the optic nerve inside the eye (optic disc). Symptoms of increased intracranial pressure include headache or nausea and vomiting.
What is the most common cause of pseudopapilledema?
Optic nerve head drusen is the most common cause of pseudopapilledema, occurring in 0.34%-2.4% of individuals. A complete review of optic disc drusen can be found on the optic disc drusen page.
What is ppapilledema and how is it treated?
Papilledema is a condition in which increased pressure in or around the brain (intracranial pressure) causes swelling of the part of the optic nerve inside the eye (optic disc).
Why is optic nerve head drusen called pseudopapilledema?
It is important to determine whether the observed condition is due to optic nerve head drusen, which can cause an elevation of the optic nerve head that can be mistaken for papilledema. For this reason, optic nerve head drusen is also called pseudopapilledema.