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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Saturday, July 29, 2017
Sequence of appearance of papilledema
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ReplyDeleteHad learnt it as ISNT rule . Inferior fibres first.
ReplyDeleteCan you please quote any source(s)?
ReplyDelete