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The Swollen Optic Disc in Childhood

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Pediatric Neuro-Ophthalmology

Abstract

“Optic disc elevation” is a reason for neuro-ophthalmologic referral common in children. The nature of the underlying disorder can often be predicted from the wording of the referring physician’s telephone call. Bilateral optic disc elevation without visual loss in a child with headaches, nausea, and vomiting of several months duration creates a high index of suspicion for papilledema (i.e., swelling of the optic discs secondary to elevated intracranial pressure). Blurring of the nasal disc margins which is noted as an incidental finding in an otherwise healthy child is usually found to be pseudopapilledema (i.e., real or apparent elevation of the optic discs due to local structural factors, which simulates swelling of the discs). Optic disc swelling in the setting of acute visual loss usually signifies optic neuritis.

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Authors and Affiliations

  1. Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA

    Michael C. Brodsky MD (Associate Professor of Ophthalmology and Pediatrics, Chief of Pediatric Ophthalmology)

  2. Arkansas Children’s, Hospital Little Rock, Arkansas, USA

    Michael C. Brodsky MD (Associate Professor of Ophthalmology and Pediatrics, Chief of Pediatric Ophthalmology)

  3. University of Kentucky Medical Center, Lexington, Kentucky, USA

    Robert S. Baker MD (Chairman and Professor of Ophthalmology Professor of Pediatrics, Neurosurgery, and Neurology)

  4. Section of Pediatric Ophtalmology, University of Florida College of Medicine, Gainesville, Florida, USA

    Latif M. Hamed MD, FACS (Associate Professor of Ophthalmology and Pediatrics Chief)

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Brodsky, M.C., Baker, R.S., Hamed, L.M. (1996). The Swollen Optic Disc in Childhood. In: Pediatric Neuro-Ophthalmology. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8457-1_3

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