Papilloedema is characterised by all EXCEPT
(Sudden loss of vision) (301- Khurana 4th)Differentiating features of Papilloedema, Papillitis and PseudopapillitisFeaturesPapilloedemaPapillitisPseudopapillitis1. LaterallyUsually bilateralU/L or B/LMay be U/L2. Symptoms (i) visual acquityTransient attacks of blurred vision** Later vision decreases due to optic atrophy* Marked loss of vision* Sudden onset refractive errorDefective vision(ii) Pain and TendernessAbsent- May be present with ocular movementsAbsent3. Fundus examination (i) MediaClearPosterior vitreous haze is commonClear(ii) Disc colourRed and juicy appearanceMarked hyperaemiaRaddishDisc marginBlurredBlurredNot well definedDisc swelling2-6 dioptresnot >3DDepending upon the degree of hypermetropia(iii) Peripapillary oedemaPresentPresentAbsents(iv)Venous engorgementMore marked*Less markedNot present(v) Retinal exudates(vi) Retinal hemorrage(vii) MaculaMore marked* MarkedLess markedAbsent Macular starUsually not presentNot present4. FieldEnlarged** blind spotCentral scatomaNo detect5. Fluorescent angiographyVertical oval pool of dye due to leakageMinimal leakage of dyeNo leakage of dye
Sudden loss of vision
Blurred vision
Hyperaemic disc
Venous engorgement marked
Optic Nerve