Document Detail


Diabetic papillopathy and its relation to optic nerve ischemia.
MedLine Citation:
PMID:  19225435     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: This presentation exhibits a case report and review of multiple reported cases of hyperemic optic disc swelling in patients with diabetes. After excluding all other known causes of optic nerve insult, this pathology has typically been labeled as diabetic papillopathy. CASE REPORT: We offer a case of a 65-year-old veteran with unilateral hyperemic optic disc swelling, presenting with minimal optic nerve dysfunction. After an extensive evaluation to rule out other causative pathology, this patient was diagnosed with diabetic papillopathy. CONCLUSIONS: Presented are clinical data of a case of diabetic papillopathy and a literature review to delineate the typical published clinical characteristics and course of this disease process. We also review literature to summarize the typical characteristics of anterior ischemic optic neuropathy and offer a hypothesis to reconcile the dilemmas regarding its relation to diabetic papillopathy.
Authors:
William Scott Slagle; Angela N Musick; Daniel R Eckermann
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Optometry and vision science : official publication of the American Academy of Optometry     Volume:  86     ISSN:  1538-9235     ISO Abbreviation:  Optom Vis Sci     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-04-01     Completed Date:  2009-06-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8904931     Medline TA:  Optom Vis Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e395-403     Citation Subset:  IM    
Affiliation:
FAAO Optometry Section of the Surgical Care Service Line, Salem Veterans Affairs Medical Center, Salem, Virginia, USA. scott.slagle@va.gov
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MeSH Terms
Descriptor/Qualifier:
Aged
Diabetic Neuropathies / diagnosis*,  physiopathology
Diagnosis, Differential
Follow-Up Studies
Fundus Oculi
Humans
Hyperemia / diagnosis*
Ischemia / diagnosis*
Male
Optic Disk / blood supply
Optic Nerve / blood supply*
Papilledema / diagnosis*,  physiopathology
Visual Fields

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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