C. Vidinova, L. Voinov
Clinic of Ophthalmology, Military Medical Academy – Sofia, Bulgaria

Objective: Papilloedema is a difficult dillema to solve due to the different possible causes. The objective of our study is to present a difficult case of unilateral papilloedema.

Material and Methods: We used complete ophtalmologic examination including Visual acuity, perimetry, fluorecein angiography, OCT, ultrasonography and MR in trying to solve a difficult case.

Results: We present a rare case of a young mother who has a unilateral papilloedema one month after birth and a rapid drop of the visual acuity. She was diagnosed with FA and OCT which could not give concrete information about the cause of the edema. We speculated of inflammatory reason as well as thrombotic cause. The ultrasonography and MR confirmed the inflammatory genesis.

Discussion: Although complex examinations are a must in difficult cases ultrasonography can provide essential information for the cause of the disease.

Key words: papilloedema, ultrasonography.

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