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Ophthalmology Neuro Ophthalmology 7273b7bc

All among the following are true about Papilledema EXCEPT :

A
Earliest sign is enlargement of blind spot
B
Circumferential folds of retinal nerve fiber layer
C
Atrophic papilledema occurs 6-9 months after initial attack
D
Bilateral non inflammatory disc edema with increased ICT
High-Yield Explanation
Blurring of margins of optic disc is the earliest sign of papilledema. Papilledema B/L non inflammatory disc edema with increased ICT. |sed ICT - disturbance in axoplasmic flow. Dilation & touosity of vessels. Elevation of disc. Headache, morning stiffness, projectile vomiting. Enlargement of blind spot. Paton's line (circumferential folds of retinal nerve fiber layer ). Pseudotumor cerebri: Raised ICT a/w papilledema, seen in patients without any intracranial lesion. Atrophic papilledema occurs 6-9 months after initial attack (like features of optic atrophy). Papilledema Normal Optic disc

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