DIABETIC PAPILLOPATHY AND SEROUS NEURORETINAL DETACHMENT

A new case of bilateral diabetic papillopathy occurring in a 43-year-o ld woman with poor metabolic control of type 1 diabetes is presented, The clinical picture included a bilateral macular involvement related to choroidal folds with macular distortion and a peripapillary serous neuroretinal detachment, appearing before the onset of disc swelling. The clinical data concerning diabetic papillopathy are reviewed, and t he relationships between this disease and metabolic disturbances are d iscussed The peripapillary serous neuroretinal detachment is supposedl y consecutive to an acute and reversible breakdown of the blood retina barrier, whose onset is possibly consecutive to glycemic variations, hormonal changes, or immunological factors.