If the channels connecting the central cavity and optic nerve sheath allow equal flow on both sides and in both directions papilledema will occur and will improve with decreased ICP

Review the differences between pseudopapilledema and papilledema, and how optometrists can manage both conditions.

Apr 25, 2025 · Papilledema refers to true swelling of the optic disc, typically caused by increased intracranial pressure, and often represents a medical emergency requiring prompt intervention. In contrast, pseudopapilledema describes an optic disc that appears elevated or swollen but is not actually oedematous.

Pseudopapilledema is defined as anomalous elevation of one or both optic discs without edema of the retinal nerve fiber layer [2]. Papilledema, on the other hand, is a swelling of the optic disc due to increased intracranial pressure.

Aug 7, 2023 · Optic disc edema refers to swelling of the nerve fiber layer at the optic nerve head due to an optic neuropathy of any etiology (inflammatory, infiltrative, compressive, etc.) whereas the term papilledema refers to optic disc edema caused by raised intracranial pressure.

In distinguishing papilledema from pseudopapilledema, case history, assessment of clinical data, and analysis of the optic nerves are key. Performing ancillary tests for additional guidance and keen observation of the optic nerve is critical in managing these cases.

Differentiating papilledema from pseudopapilledema is a crucial skill, although it can be a challenge. The appearance of mild papilledema can overlap greatly with that of pseudopapilledema, especially in cases of anomalous, pediatric optic nerves.

Apr 25, 2019 · In this 1-Minute Video, Dr. Kimberly Gokoffski explains how to distinguish papilledema from pseudopapilledema during a clinical exam. Signs of true papilledema include …

Jul 15, 2020 · Causes of pseudopapilledema are relatively benign and include buried optic disc drusen and small, anomalous and/or hypoplastic discs. Papilledema is, by definition, optic disc edema in the setting of increased intracranial pressure and is a medical emergency.

Mar 14, 2024 · Papilledema is a sign of increased intracranial pressure, and workup involves neuroimaging and/or lumbar puncture, which frequently require sedation in children. Pseudopapilledema is typically isolated and does not necessitate neurologic workup. Most children who are initially referred for papilledema are ultimately diagnosed with ...