title: [Papillopathy in the adult as first manifestation of diabetes].
abstract: OBJECTIVE
  A 72-year-old woman that did not know to suffer diabetes was observed to present a bilateral papillopathy with no visual compromise during the postoperative control of cataract surgery. Follow up was performed by fluorescein and indocyanine green angiogram, ophthalmoscopy and campimetry.
  
  
  CONCLUSIONS
  Papillopathy presentation was asymmetric in both eyes. Systemic work up showed a diabetes. Optic nerve oedema resolved spontaneously without optic disc pallor. Diabetes papillopathy is an uncommon process in the elderly but it must be suspected in cases of optic nerve swelling with paucity of symptoms.
authors.affiliation: Clínica Universitaria de Navarra, Departamento de Oftalmología, Universidad de Navarra, 31080 Pamplona, Spain. aglayana@cun.unav.es
authors.forename: A
authors.initials: A
authors.lastname: García-Layana
authors.forename: C S
authors.initials: CS
authors.lastname: Gómez
authors.forename: D A
authors.initials: DA
authors.lastname: Pérez De Madrid
authors.forename: J M
authors.initials: JM
authors.lastname: Montañés
mesh_terms: D000368:Aged; D002387:Cataract Extraction; D048909:Diabetes Complications; D003930:Diabetic Retinopathy / Q000209:etiology; D005260:Female; D006801:Humans; D009898:Optic Disk; D009901:Optic Nerve Diseases / Q000209:etiology*; D011182:Postoperative Care