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April 1971

Pseudopapilledema of Juvenile Diabetes Mellitus

Author Affiliations

Columbus, Ohio
From the Department of Ophthalmology, Division of Neurology, Ohio State University Hospitals, Columbus, Ohio.

Arch Ophthalmol. 1971;85(4):417-422. doi:10.1001/archopht.1971.00990050419004

Optic disc edema with neovascularization, peripapillary hemorrhages, and exudates mimicking true papilledema occurred in three teen-aged patients with long-standing juvenile diabetes mellitus controlled by insulin. Despite the appearance of papilledema, the unusual signs, symptoms, and course of this syndrome suggest that it is an ischemic manifestation of diabetic microangiopathy within the optic papilla in the absence of adequate collateral circulation. This report confirms the existence of a diabetic optic neuropathy, and discusses its vascular pathogenesis and management.