Diabetic Papillopathy and Papillophlebitis

Diabetic papillopathy is a rare ocular finding in patients with diabetes mellitus. Optic disc edema accompanying minimal visual changes caused by diabetic papillopathy distinguishes it from other optic neuropathies. The pathophysiology of diabetic papillopathy is still not clearly understood. Patients with diabetic papillopathy tend to be asymptomatic, but they may present to the clinic with mild blurred vision. Diagnosis can be made by excluding other possible causes of optic disc swelling. Diabetic papillopathy is essentially a diagnosis of exclusion. For this reason, the differential diagnoses in these patients need to be well known. There are no proven treatment options for diabetic papillopathy. However, since these patients often recover on their own, following the patients without treatment seems to be a reasonable approach for now. Papillophlebitis is a rare condition look like as incomplete central retinal vein occlusion due to optic disc edema and hemorrhages at the disc edge. It typically occurs in young, healthy women with acute, painless unilateral vision loss or blurred vision, optic disc edema, and retinal vein engorgement. Diagnosis is made by excluding other possible causes. There is no evidence-based, accepted treatment method for papillophlebitis.