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Papilledema
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Papillitis
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Retrobulbar neuritis
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Definition
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Swelling of optic nerve head due
to increased ICP
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Inflammation or infarction of optic
nerve head
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Inflammation of orbital portion
of optic nerve
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Unilateral/bilateral
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Bilateral
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Unilateral
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Unilateral
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Vision impairment
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Enlarged blind spot
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Central/paracentral scotoma to complete
blindness
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Central/paracentral scotoma to complete
blindness
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Fundus appearance
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Hyperemic disk
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Hyperemic disk
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Normal
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Vessel appearance
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Engorged, tortuous veins
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Engorged vessels
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Normal
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Hemorrhages?
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Around disk, not periphery
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Hemorrhages near or on optic head
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Normal
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Pupillary light reflex
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Not affected
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Depressed
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Depressed
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Treatment
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Normalize ICP
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Corticosteroids if cause known
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Corticosteroids with caution
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