Papillopathy in the adult as first manifestation of diabetes
García-Layana, A.; Gómez, C.S.; Pérez De Madrid, D.A.; Montañés, J.M.
Archivos de la Sociedad Espanola de Oftalmologia 75(5): 351-354
2000
ISSN/ISBN: 0365-6691 PMID: 11151174 Document Number: 525144
A 72-year-old woman that did not know to suffer diabetes was observed to present a bilateral papillopathy with no visual compromise during the postoperative control of cataract surgery. Follow up was performed by fluorescein and indocyanine green angiogram, ophthalmoscopy and campimetry. Papillopathy presentation was asymmetric in both eyes. Systemic work up showed a diabetes. Optic nerve oedema resolved spontaneously without optic disc pallor. Diabetes papillopathy is an uncommon process in the elderly but it must be suspected in cases of optic nerve swelling with paucity of symptoms.