Abstract

Bilateral Diabetic Papillopathy in Type II Diabetes Mellitus.
Diabetic papillopathy is a rare cause of optic disc edema that is seen in 1.4% of diabetic patients; it is considered a diagnosis of exclusion. The condition is seen in either type I or II DM and is often underdiagnosed due to its largely asymptomatic, transient nature.
Case Report: We present a case of a 43-year-old Indian male patient with Type 2 diabetes mellitus (T2DM) on Insulin and Oral Hypoglycemic Agents who presented with bilateral decrease in vision. A diagnosis of Diabetic Papillopathy with retinopathy was made. He was managed with intravenous methylprednisolone therapy.
Discussion- Diabetic papillopathy is a rare presentation with no single recommended treatment protocol. A course of IV bolus methylprednisolone and then tapered oral dose showed significant improvement in this case.
Conclusion- Further discussion is warranted to understand its pathophysiology and formulate a management algorithm.