Saturday 23 June 2012

81.FIRST SIGN OF PAPILLOEDEMA IN OPTHALMOSCOPE

A.BLURRING OF DISC MARGIN
B.HYPEREMIA OF DISC
C.SPLINTER HEMMORHAGE
D.VENOUS ENGORGEMENT

ANS:VENOUS ENGORGEMENT



The signs of papilledema that are seen using an ophthalmoscope include

venous engorgement (usually the first signs)
loss of venous pulsation
hemorrhages over and / or adjacent to the optic disc
blurring of optic margins
elevation of optic disc
Paton's lines = radial retinal lines cascading from the optic disc
On visual field examination, the physician may elicit an enlarged blind spot; the visual acuity may remain relatively intact until papilledema is severe or prolonged.

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