Dr.Anu F Anand
A 53 yr old male known case of type 2 diabetes mellitus since 8 yrs, hypertension and coronary artery disease was admitted to the neurology department with altered sensorium due to hyponatremia. On regular ophthalmological evaluation best corrected visual acuity of right eye- 6/9 and left eye- 6/6. Anterior segment showed early posterior subcapsular cataract. Fundus ( both eyes) – disc oedematous, margins blurred, hyperemic with multiple heamorrhages and cotton wool spots over the disc and peripapillary areas, dull foveal reflex. Fundus flouresein angiography showed multiple microaneurysms with leak, capillary nonperfusion areas, disc staining and late leakage. No venous filling delay noted. Intracranial causes for papilloedema ruled out by imaging. Diagnosis of diabetic papillopathy was made. It is an uncommon small vessel disease in younger diabetics with mild visual impairment.
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