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[Bilateral papilledema].

¹Service d'ophtalmologie, CHU de Bordeaux, place Amelie-Raba-Léon, 33000 Bordeaux, France; Inserm, U1219, Bordeaux Population Health Research Center, 33000 Bordeaux, France.

Journal Francais D'Ophtalmologie

|May 10, 2017

Summary

This summary is machine-generated.

This review outlines the diagnosis and management of bilateral optic disc edema. Key steps include ruling out emergent conditions like intracranial hypertension and giant cell arteritis before determining the specific cause.

Keywords:

Amiodarone Bilateral optic disc edema Drusen de la papille Hypertension intracrânienne Intracranial hypertension Ischemic optic neuropathy Neuropathie optique ischémique Neuroretinitis Optic disc drusen Papilledema neurorétinite Œdème papillaire bilatéral

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Area of Science:

Ophthalmology
Neurology

Background:

Bilateral optic disc edema requires prompt evaluation to exclude emergent conditions.
Accurate diagnosis is crucial for appropriate patient management and visual prognosis.

Purpose of the Study:

To review the standard of care for diagnosing and managing bilateral optic disc edema.
To outline a systematic approach to differentiate various causes of optic disc edema.

Main Methods:

Review of current medical literature and clinical guidelines.
Discussion of diagnostic criteria and imaging modalities.
Emphasis on differential diagnosis of optic disc edema.

Main Results:

Emergent conditions such as secondary intracranial hypertension and arteritic ischemic optic neuropathy (giant cell arteritis) must be prioritized.
Differential diagnosis includes papilledema, non-arteritic ischemic optic neuropathy, and papillitis.
Systematic cerebral imaging with contrast is a required diagnostic step.

Conclusions:

A structured diagnostic pathway is essential for managing bilateral optic disc edema.
Exclusion of life-threatening conditions guides subsequent investigation and treatment.
Timely and accurate diagnosis impacts patient outcomes and prevents vision loss.