Journal of Ophthalmic and Optometric Sciences

Vol. 3 No. 3 (2019)

Crowded Disc in a High Hyperopic Patient Misdiagnosed as Papilledema

Journal of Ophthalmic and Optometric Sciences, Vol. 3 No. 3 (2019), 10 July 2019 , Page 58-60
https://doi.org/10.22037/joos.v3i3.36383

Abstract

A 16 year old female was referred to neurological clinic with diagnosis of papilledema for neurological evaluation. After consultation with us we became suspicious of pseudopapilledema according to refraction and biometric characteristics of the eye and the patient’s history. We performed fluorescein angiography for the patient. There was no leakage of fluorescein in images and papilledema diagnosis was rejected. The patient was diagnosed with crowded disc due to high hyperopia. This correction of diagnosis prevented the neurologist colleagues from developing the wrong diagnosis of papilledema caused by an intracranial mass, and performing any unnecessary investigations such as brain MRI or lumbar puncture.
Keywords: Crowded Disc; Pseudopapilledema; Papilledema; Fluorescein Angiography.

Keywords:
  • Crowded Disc
  • Pseudopapilledema
  • Papilledema
  • Fluorescein Angiography

How to Cite

Yadgari, M., Nourizade , P. ., Firoozian, N. ., & Attarian, B. . (2019). Crowded Disc in a High Hyperopic Patient Misdiagnosed as Papilledema. Journal of Ophthalmic and Optometric Sciences, 3(3), 58–60. https://doi.org/10.22037/joos.v3i3.36383

References

Hoyt WF, Pont ME. Pseudopapilledema: anomalous elevation of optic disk. Pitafalls in diagnosis and management. JAMA. 1962;181:191-6.

Auw-Haedrich C, Staubach F, Witschel H. Optic disk drusen. Surv Ophthalmol. 2002;47(6):515-32.

Brodsky, MC. Pediatric neuro-ophthalmology, third edition. Springer New York. 2016.

Chiang J, Wong E, Whatham A, Hennessy M, Kalloniatis M, Zangerl B. The usefulness of multimodal imaging for differentiating pseudopapilloedema and true swelling of the optic nerve head: a review and case series. Clin Exp Optom. 2015;98(1):12-24.

Oliveira C, Harizman N, Girkin CA, Xie A, Tello C, Liebmann JM, Ritch R. Axial length and optic disc size in normal eyes. Br J Ophthalmol. 2007;91(1):37-9.

Sahin A, Cingü AK, Ari S, Cinar Y, Caça I. Bilateral optic disc drusen mimicking papilledema. J Clin Neurol. 2012;8(2):151-4.

Prasad S, Volpe NJ, Balcer LJ. Approach to optic neuropathies: clinical update. Neurologist. 2010;16(1):23-34.

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