Papillitis

Definition:-

Papillitis is acute inflammation of the optic disc.

Etiology:-

  1. The Commonest cause for papillitis is demyelinating diseases ( like multiple sclerosis).
  2. Infection ( primary as in poliovirus infection and TB or secondary as in meningitis , cellulitis , retinitis and uvitis).
  3. Metabollic diseases ( DM and vit. B deficiency).
  4. Antigen antibody reaction ( septic focus).

Clinical picture:-

A) symptoms:-

rapid marked drop of vision , up to hand movement.

B) signs:-

  1. Central scotoma for green and red.
  2. Pupil have reactive unsustained reaction.
  3. Disc is elevated 3D and retina is less congested than papilledena.

Investigations:-

By VEP.

Fate:-

  1. Spontaneous recovery occur in most of cases.
  2. Recurrence after recovery is common.
  3. Post papillitic optic atrophy.

Treatment:-

Treatment if the cause + systemic cortisone + vit. B complex.

 


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Category | Ophthalmology
Number of Posts by : 16
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