What is it?

Pseudopapilledema, also known as optic disc drusen, refers to a condition characterized by the presence of small calcified deposits on the optic nerve head. Although it can mimic true papilledema (swelling of the optic nerve), pseudopapilledema is a benign condition that does not involve increased intracranial pressure.

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Additional names

This group contains additional names:
- Optic disc drusen

Signs & symptoms

- Optic nerve appearance: Pseudopapilledema can cause the optic nerve to appear swollen or elevated, resembling true papilledema.
- Visual disturbances: Some individuals with pseudopapilledema may experience visual field defects, blurred vision, or transient visual obscurations.
- Headaches: Although not specific to pseudopapilledema, some individuals may experience headaches.

Diagnosis

Differentiating between true papilledema and pseudopapilledema is essential for appropriate management. Diagnosis of pseudopapilledema may involve the following:

- Dilated fundus examination: A comprehensive examination of the back of the eye helps evaluate the appearance of the optic nerve and the presence of drusen.
- Optical coherence tomography (OCT): This imaging technique provides high-resolution cross-sectional images of the optic nerve and aids in distinguishing between true swelling and pseudopapilledema.
- Visual field testing: Assessing the visual field helps identify any defects or abnormalities.

Treatment

Pseudopapilledema generally does not require specific treatment as it is a benign condition. However, managing associated symptoms or monitoring for potential complications may be necessary. Treatment options may include:

- Symptomatic relief: Addressing any visual disturbances, such as prescribing corrective lenses or addressing other visual abnormalities.
- Monitoring: Regular follow-up examinations may be recommended to monitor the progression of the condition or detect any changes.

☝️ This is not a substitute for professional medical advice. Please consult with your physician before making any medical decision.

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