Papilledema or pseudopapilledema?

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چکیده

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Pearls & Oy-sters: spontaneous venous pulsation and its role in differentiating papilledema from pseudopapilledema.

Gerassimos Lascaratos, MD Suheb Ahmed, MD Stephen A. Madill, FRCOphth Spontaneous venous pulsation (SVP) of the optic disc can be used as a surrogate marker of intracranial pressure (ICP) in patients with discs of normal morphology. The presence of SVP can suggest an ICP within normal limits.1 Based on this premise, SVP is also referred to when differentiating anomalous pseudopapilledematous op...

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Accuracy of Diagnostic Imaging Modalities for Classifying Pediatric Eyes as Papilledema Versus Pseudopapilledema.

PURPOSE To identify the most accurate diagnostic imaging modality for classifying pediatric eyes as papilledema (PE) or pseudopapilledema (PPE). DESIGN Prospective observational study. SUBJECTS Nineteen children between the ages of 5 and 18 years were recruited. Five children (10 eyes) with PE, 11 children (19 eyes) with PPE owing to suspected buried optic disc drusen (ODD), and 3 children ...

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The diagnostic challenge of evaluating papilledema in the pediatric patient

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. In this review, we describe the clinical findings and a diagnostic algorithm to distinguish pseudopapill...

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The Diagnostic Dilemma of Pseudopapilledema

Optic nerve head (ONH) elevation tends to be the most intimidating ocular finding especially when it presents bilaterally. The purpose of this article is to provide the clinician with clinical strategies that will enhance their assessment and management of bilateral disc elevations. In addition, this topic is important to review because effective management will reduce over-referrals for neurol...

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Optic Disc Drusen, Important Detail in the Differential Diagnosis of Optic Disc Edema

Pseudopapilledema is used for pathologies that mimicking the optic disc edema. Among these, pseudo papilledema is commonly produced by optic disc drusen (ODD). A 17-year-old female patient was referred to the ophthalmology department from child neurology department with papilledema diagnosis because of bilateral elevated and blurred optic disc. Following ophthalmologic evaluation with fundus ex...

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ژورنال

عنوان ژورنال: Indian Journal of Ophthalmology

سال: 2019

ISSN: 0301-4738

DOI: 10.4103/ijo.ijo_2013_18