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Archivos de la Sociedad Española de Oftalmología (English Edition) Bilateral parainfectious papillitis superimposed on papillary pseudoedema by opt...
Journal Information
Vol. 100. Issue 9.
Pages 558-562 (September 2025)
Vol. 100. Issue 9.
Pages 558-562 (September 2025)
Short communication
Bilateral parainfectious papillitis superimposed on papillary pseudoedema by optic nerve drusen
Papilitis parainfecciosa bilateral superpuesta a pseudoedema de papila por drusas del nervio óptico
Javier Garulo Nicolása,
Corresponding author
javigarulo@gmail.com

Corresponding author.
, Laura Manfreda Domíngueza, Patricia Bayo Calducha, Sergio Obiol Ferrandoa, Andrea Català Nadala, Antonio Miguel Duch Sampera,b
a Servicio de Oftalmología, Hospital Clínico Universitario, València, Spain
b Departamento de Cirugía, Facultad de Medicina y Odontología, Universitat de València, València, Spain
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Abstract

Papillary drusen are deposits of calcified hyaline material at the level of the optic nerve head. They are considered the most frequent cause of pseudopapilledema, so in clinical practice it is essential to identify and differentiate them from true optic disc oedema.

Parainfectious optic neuritis is an inflammatory optic neuropathy, usually bilateral and acute, which occurs between 1 and 3 weeks after an infectious disease. It usually occurs as a papillitis, since it is usually located in the head of the optic nerve causing optic disc oedema.

In this article we present an unusual case of bilateral papillitis superimposed on papillary drusen in a young male with Chlamydia trachomatis prostatitis. After an exhaustive etiological study, it was concluded that, in this patient, papillitis was associated with his sexually transmitted disease.

Keywords:
Papillitis
Optic neuritis
Bilateral
Parainfectious
Sex transmited disease
Chlamydia trachomatis
Resumen

Las drusas de papila son depósitos de material hialino calcificado a nivel de la cabeza del nervio óptico. Se las considera la causa más frecuente de pseudopapiledema, por lo que en la práctica clínica es fundamental su identificación y diferenciación de un verdadero edema de papila.

La neuritis óptica parainfecciosa es una neuropatía óptica inflamatoria, habitualmente bilateral y aguda, que se presenta entre 1 y 3 semanas después de una enfermedad infecciosa. Por lo general cursa como una papilitis, ya que suele localizarse en la cabeza del nervio óptico provocando un edema de papila.

En este artículo presentamos un inusual caso de papilitis bilateral superpuesta a drusas de papila en un varón joven con una prostatitis por Chlamydia trachomatis. Tras un exhaustivo estudio etiológico se concluye que, en este paciente, la papilitis estaba asociada a su infección de transmisión sexual.

Palabras clave:
Papilitis
Neuritis óptica
Bilateral
Parainfecciosa
Enfermedad de transmisión sexual
Chlamydia trachomatis

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