Rapidly progressive optic disk neovascularization after diabetic papillopathy.
OBJECTIVE
To determine if diabetic papillopathy may be associated with optic disk neovascularization and visual loss.


METHODS
We examined two young adults with bilateral diabetic papillopathy who had permanent loss of vision associated with rapidly progressive posterior segment neovascularization.


RESULTS
Within three months both patients developed florid optic disk neovascularization. This neovascularization was slow to regress despite full panretinal photocoagulation. One patient developed a macular tractional retinal detachment.


CONCLUSIONS
Diabetic papillopathy may be associated with rapid progression of diabetic retinopathy and, in particular, optic disk neovascularization. Patients should be monitored for this possibility.
D000293:Adolescent; D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D003930:Diabetic Retinopathy / Q000150:complications*; D005260:Female; D005654:Fundus Oculi; D006801:Humans; D006973:Hypertension / Q000150:complications; D017075:Laser Coagulation; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D009389:Neovascularization, Pathologic / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D009898:Optic Disk / Q000098:blood supply* / Q000187:drug effects / Q000473:pathology / Q000601:surgery; D010211:Papilledema / Q000150:complications*; D011241:Prednisone / Q000627:therapeutic use; D012163:Retinal Detachment / Q000209:etiology
D000893:Anti-Inflammatory Agents; D011241:Prednisone; D008775:Methylprednisolone