Saturday, July 29, 2017

Sequence of appearance of papilledema

The optic disc margins start to blur in the following order in papilledema-

1. Superior
2. Inferior
3. Nasal
4. Temporal

Blurring first occurs where the nerve fibre density is the highest.The optic disc being ovoid in shape, with taperings superiorly and inferiorly, the nerve fibre density is higher there. Hence such a sequence.

That's all!

-Sushrut Dongargaonkar


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