{"id":3902,"date":"2020-06-29T17:51:03","date_gmt":"2020-06-29T20:51:03","guid":{"rendered":"http:\/\/clinicamariomonteiro.com.br\/site\/?p=3902"},"modified":"2023-07-12T09:05:30","modified_gmt":"2023-07-12T12:05:30","slug":"diagnostico-diferencial-do-edema-de-papila","status":"publish","type":"post","link":"https:\/\/clinicamariomonteiro.com.br\/site\/diagnostico-diferencial-do-edema-de-papila\/","title":{"rendered":"Diagn\u00f3stico Diferencial dos Edemas de Papila"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-6ez6tf-3bd3fdea63b8133f7837dee7431a3a7b\">\n#top .flex_column.av-6ez6tf-3bd3fdea63b8133f7837dee7431a3a7b{\nmargin-top:0px;\nmargin-bottom:0px;\n}\n.flex_column.av-6ez6tf-3bd3fdea63b8133f7837dee7431a3a7b{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n.responsive #top #wrap_all .flex_column.av-6ez6tf-3bd3fdea63b8133f7837dee7431a3a7b{\nmargin-top:0px;\nmargin-bottom:0px;\n}\n<\/style>\n<div  class='flex_column av-6ez6tf-3bd3fdea63b8133f7837dee7431a3a7b av_one_full  avia-builder-el-0  el_before_av_three_fifth  avia-builder-el-first  first flex_column_div av-zero-column-padding  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kc0o05aj-d39f613ac49997dda6491d33a1d598f7\">\n#top .av-special-heading.av-kc0o05aj-d39f613ac49997dda6491d33a1d598f7{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-kc0o05aj-d39f613ac49997dda6491d33a1d598f7 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-kc0o05aj-d39f613ac49997dda6491d33a1d598f7 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-kc0o05aj-d39f613ac49997dda6491d33a1d598f7 av-special-heading-h2 blockquote modern-quote  avia-builder-el-1  el_before_av_hr  avia-builder-el-first '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >Diagn\u00f3stico Diferencial dos Edemas de Papila<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kbtmc7wh-532c119224e0a4ac385862389d429780\">\n#top .hr.av-kbtmc7wh-532c119224e0a4ac385862389d429780{\nmargin-top:0;\nmargin-bottom:0;\n}\n.hr.av-kbtmc7wh-532c119224e0a4ac385862389d429780 .hr-inner{\nwidth:100%;\nborder-color:#cccacc;\n}\n<\/style>\n<div  class='hr av-kbtmc7wh-532c119224e0a4ac385862389d429780 hr-custom  avia-builder-el-2  el_after_av_heading  avia-builder-el-last  hr-center hr-icon-no'><span class='hr-inner inner-border-av-border-thin'><span class=\"hr-inner-style\"><\/span><\/span><\/div><\/p><\/div>\n<div class='flex_column_table av-8ry69v-c2726188a652efa39671da8afa721344 sc-av_three_fifth av-equal-height-column-flextable'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-8ry69v-c2726188a652efa39671da8afa721344\">\n#top .flex_column_table.av-equal-height-column-flextable.av-8ry69v-c2726188a652efa39671da8afa721344{\nmargin-top:12px;\nmargin-bottom:0px;\n}\n.flex_column.av-8ry69v-c2726188a652efa39671da8afa721344{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-8ry69v-c2726188a652efa39671da8afa721344 av_three_fifth  avia-builder-el-3  el_after_av_one_full  el_before_av_one_third  first flex_column_table_cell av-equal-height-column av-align-top av-zero-column-padding  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-e5ghn2-c558d8e6d52047c3886fa08c3c89cda6\">\n#top .av-special-heading.av-e5ghn2-c558d8e6d52047c3886fa08c3c89cda6{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-e5ghn2-c558d8e6d52047c3886fa08c3c89cda6 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-e5ghn2-c558d8e6d52047c3886fa08c3c89cda6 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-e5ghn2-c558d8e6d52047c3886fa08c3c89cda6 av-special-heading-h3 blockquote modern-quote  avia-builder-el-4  el_before_av_textblock  avia-builder-el-first '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Edema de papila<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-32w9tf-f9079ff082fcd7c869928a136e7bf988 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><div id=\"lipsum\">\n<p>Edema de papila se refere a uma altera\u00e7\u00e3o oftalmosc\u00f3pica caracterizada pelo velamento e eleva\u00e7\u00e3o das margens a papila ou disco do nervo \u00f3ptico (Figura).<\/p>\n<p>Assim, \u00e9 um quadro sindr\u00f3mico que ocorre em uma s\u00e9rie de <u>afe\u00e7\u00f5es do nervo \u00f3ptico<\/u> sendo o seu diagn\u00f3stico diferencial extremamente importante.<\/p>\n<\/div>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kc0yypwb-45a930417508c11f3728336ec97fff6b\">\n#top .av-special-heading.av-kc0yypwb-45a930417508c11f3728336ec97fff6b{\nmargin:25px 0 0 0;\npadding-bottom:10px;\n}\nbody .av-special-heading.av-kc0yypwb-45a930417508c11f3728336ec97fff6b .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-kc0yypwb-45a930417508c11f3728336ec97fff6b .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-kc0yypwb-45a930417508c11f3728336ec97fff6b av-special-heading-h3 blockquote modern-quote  avia-builder-el-6  el_after_av_textblock  el_before_av_textblock '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Denomina\u00e7\u00e3o<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>A denomina\u00e7\u00e3o <u>papiledema<\/u> \u00e9 frequentemente usada, de forma err\u00f4nea, como sin\u00f4nimo de edema de papila, mas deve ser reservado apenas para descrever o edema de papila da <u>hipertens\u00e3o intracraniana<\/u>. Assim, outros tipos de edema devem ser nominados de acordo com a sua causa como por exemplo: edema de papila da <u>neurite \u00f3ptica<\/u>, edema de papila da <u>neuropatia \u00f3ptica isqu\u00eamica<\/u>, etc.<\/p>\n<\/div><\/section><\/p><\/div>\n<div class='av-flex-placeholder'><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-7an8hf-31938492d26874c208e8869267ef5581\">\n#top .flex_column_table.av-equal-height-column-flextable.av-7an8hf-31938492d26874c208e8869267ef5581{\nmargin-top:12px;\nmargin-bottom:0px;\n}\n.flex_column.av-7an8hf-31938492d26874c208e8869267ef5581{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-7an8hf-31938492d26874c208e8869267ef5581 av_one_third  avia-builder-el-8  el_after_av_three_fifth  el_before_av_one_full  flex_column_table_cell av-equal-height-column av-align-top av-zero-column-padding  column-top-margin'     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kc0rgk0f-45c58503e51887849449f468d250bf01\">\n.avia-image-container.av-kc0rgk0f-45c58503e51887849449f468d250bf01 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-kc0rgk0f-45c58503e51887849449f468d250bf01 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-kc0rgk0f-45c58503e51887849449f468d250bf01 av-styling- avia-align-center  avia-builder-el-9  avia-builder-el-no-sibling '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" fetchpriority=\"high\" class='wp-image-3908 avia-img-lazy-loading-not-3908 avia_image ' src=\"https:\/\/clinicamariomonteiro.com.br\/site\/wp-content\/uploads\/2020\/06\/edema_de_papila.jpg\" alt='Edema de Papila' title='edema_de_papila'  height=\"719\" width=\"838\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/clinicamariomonteiro.com.br\/site\/wp-content\/uploads\/2020\/06\/edema_de_papila.jpg 838w, https:\/\/clinicamariomonteiro.com.br\/site\/wp-content\/uploads\/2020\/06\/edema_de_papila-300x257.jpg 300w, https:\/\/clinicamariomonteiro.com.br\/site\/wp-content\/uploads\/2020\/06\/edema_de_papila-768x659.jpg 768w, https:\/\/clinicamariomonteiro.com.br\/site\/wp-content\/uploads\/2020\/06\/edema_de_papila-705x605.jpg 705w\" sizes=\"(max-width: 838px) 100vw, 838px\" \/><\/div><\/div><\/div><\/div><\/div><!--close column table wrapper. Autoclose: 1 -->\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-23tuab-683166cf6e154c6f3183ddd3f10d0abf\">\n#top .flex_column.av-23tuab-683166cf6e154c6f3183ddd3f10d0abf{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n.flex_column.av-23tuab-683166cf6e154c6f3183ddd3f10d0abf{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n.responsive #top #wrap_all .flex_column.av-23tuab-683166cf6e154c6f3183ddd3f10d0abf{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n<\/style>\n<div  class='flex_column av-23tuab-683166cf6e154c6f3183ddd3f10d0abf av_one_full  avia-builder-el-10  el_after_av_one_third  el_before_av_one_full  first flex_column_div av-zero-column-padding  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ccryha-d579b0f8ed14d33fab46088b016fb466\">\n#top .av-special-heading.av-ccryha-d579b0f8ed14d33fab46088b016fb466{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-ccryha-d579b0f8ed14d33fab46088b016fb466 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-ccryha-d579b0f8ed14d33fab46088b016fb466 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-ccryha-d579b0f8ed14d33fab46088b016fb466 av-special-heading-h3 blockquote modern-quote  avia-builder-el-11  el_before_av_textblock  avia-builder-el-first '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Pseudo-edema de papila<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Devemos inicialmente lembrar de causas de falsos edemas de papila. A principal condi\u00e7\u00e3o a ser lembrada nesse caso s\u00e3o as <u>drusas<\/u> de disco \u00f3ptico que simulam edema de papila. As drusas podem ser identificadas pelo examinador experiente, al\u00e9m de exames complementares como a tomografia de coer\u00eancia \u00f3ptica, a ultrassonografia e a pesquisa de autofluoresc\u00eancia.<\/p>\n<p>As drusas tamb\u00e9m podem ser ocultas e levar grande confus\u00e3o com neurite \u00f3ptica, especialmente quando causam perda visual. <a href=\"https:\/\/bmcophthalmol.biomedcentral.com\/articles\/10.1186\/s12886-018-0949-1\"><strong>\u00b9<\/strong><\/a><\/p>\n<p>Importante lembrar que existem outras causas de pseudo-edema de papila particularmente as anomalias cong\u00eanitas do disco \u00f3ptico como o disco \u00f3ptico congenitamente cheio (<em>crowded disc<\/em>), a papila inclinada, a persist\u00eancia de fibras de mielina e de remanescentes gliais e a hipoplasia de papila.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-b3k332-647d2e592ea14699fc379478f4342823\">\n#top .av-special-heading.av-b3k332-647d2e592ea14699fc379478f4342823{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-b3k332-647d2e592ea14699fc379478f4342823 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-b3k332-647d2e592ea14699fc379478f4342823 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-b3k332-647d2e592ea14699fc379478f4342823 av-special-heading-h3 blockquote modern-quote  avia-builder-el-13  el_after_av_textblock  el_before_av_textblock '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Causas de edema de papila<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Exclu\u00eddos os pseudo-edemas, devemos considerar as diversas causas de edema de papila que s\u00e3o:<\/p>\n<ul>\n<li><a href=\"#papiledema\">Aumento da press\u00e3o intracraniana (papilledema)<\/a><\/li>\n<li><a href=\"#neurite\">Neurites \u00f3pticas<\/a><\/li>\n<li><a href=\"#isquemica\">Neuropatia \u00f3ptica isqu\u00eamica<\/a><\/li>\n<li><a href=\"#compressivas\">Neuropatias compressivas<\/a><\/li>\n<li><a href=\"#toxicas\">Neuropatias t\u00f3xicas<\/a><\/li>\n<li><a href=\"#oculares\">Causas oculares tais como coroidites e coriorretinites, hipotonia ocular, papiloflebite, etc<\/a><\/li>\n<li><a href=\"#arterial\">Doen\u00e7as sist\u00eamicas como a hipertens\u00e3o arterial e anemia graves<\/a><\/li>\n<\/ul>\n<\/div><\/section><\/p><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-23tuab-a58479c51df8a311c697d1975fee568b\">\n#top .flex_column.av-23tuab-a58479c51df8a311c697d1975fee568b{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n.flex_column.av-23tuab-a58479c51df8a311c697d1975fee568b{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n.responsive #top #wrap_all .flex_column.av-23tuab-a58479c51df8a311c697d1975fee568b{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n<\/style>\n<div  id=\"papiledema\"  class='flex_column av-23tuab-a58479c51df8a311c697d1975fee568b av_one_full  avia-builder-el-15  el_after_av_one_full  el_before_av_one_full  first flex_column_div av-zero-column-padding  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-8hhdse-457526c57a4f01a12c0da0818fd953b8\">\n#top .av-special-heading.av-8hhdse-457526c57a4f01a12c0da0818fd953b8{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-8hhdse-457526c57a4f01a12c0da0818fd953b8 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-8hhdse-457526c57a4f01a12c0da0818fd953b8 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-8hhdse-457526c57a4f01a12c0da0818fd953b8 av-special-heading-h3 blockquote modern-quote  avia-builder-el-16  el_before_av_textblock  avia-builder-el-first '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Edema de papila da hipertens\u00e3o intracraniana (papiledema)<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>\u00c9 decorrente da transmiss\u00e3o da press\u00e3o intracraniana elevada atrav\u00e9s da bainha do nervo \u00f3ptico, ocasionando bloqueio do fluxo axoplasm\u00e1tico das c\u00e9lulas ganglionares da retina e por consequ\u00eancia edema de papila. Trata-se de sinal importante podendo ser causado por processos expansivos e infecciosos intracranianos, bloqueio do sistema de drenagem ventricular, trombose de seios venosos durais. <a href=\"https:\/\/www.scielo.br\/scielo.php?script=sci_arttext&amp;pid=S0004-27492005000400020&amp;lng=en&amp;nrm=iso\">\u00b2<\/a><\/p>\n<p>A hipertens\u00e3o intracraniana pode tamb\u00e9m ser de causa idiop\u00e1tica ocasionando a chamada s\u00edndrome do pseudotumor cerebral. <a href=\"https:\/\/www.scielo.br\/pdf\/rbof\/v67n4\/08.pdf\">\u00b3<\/a><\/p>\n<\/div><\/section><br \/>\n<section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>O edema de papila da hipertens\u00e3o intracraniana tem as seguintes caracter\u00edsticas:<\/p>\n<ol>\n<li>Epis\u00f3dios de obscurecimento visual transit\u00f3rio, frequentemente bilateral com dura\u00e7\u00e3o de segundos, usualmente precipitados por mudan\u00e7as na postura;<\/li>\n<li>Pode haver associadamente, cefal\u00e9ia, n\u00e1useas, v\u00f3mitos e diplopia, por paresia do VI;<\/li>\n<li>Acuidade visual relativamente preservada, com redu\u00e7\u00e3o apenas discreta nas fases iniciais, mas podendo ser mais grave no papiledema no papiledema cr\u00f4nico;<\/li>\n<li>Edema de papila quase sempre bilateral, podendo ser assim\u00e9trica; Raramente, no entanto, o papiledema pode ser unilateral o que pode levar a grande confus\u00e3o com outras causas de edema de papila; <a href=\"https:\/\/www.researchgate.net\/publication\/270203892_Papiledema_unilateral_na_sindrome_do_pseudotumor_cerebral\/download\">\u2074<\/a> <a href=\"https:\/\/www.google.com\/url?sa=t&amp;rct=j&amp;q=&amp;esrc=s&amp;source=web&amp;cd=&amp;cad=rja&amp;uact=8&amp;ved=2ahUKEwiw87m2raPqAhWmIbkGHcG7CvYQFjAAegQIBhAB&amp;url=https%3A%2F%2Fwww.scielo.br%2Fpdf%2Frbof%2Fv68n3%2F09.pdf&amp;usg=AOvVaw20wcOc-HqH24jVM-JpWG-u\">\u2075<\/a><\/li>\n<li>Defeitos de campo visual de intensidade vari\u00e1vel, mais frequentemente um degrau nasal inferior ou constric\u00e7\u00e3o generalizada. <a href=\"https:\/\/www.scielo.br\/pdf\/abo\/v57n2\/0004-2749-abo-57-02-0122.pdf\">\u2076<\/a><\/li>\n<\/ol>\n<\/div><\/section><br \/>\n<section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>\u00c9 importante o diagn\u00f3stico correto do papiledema para orientar o tratamento adequado da causa da hipertens\u00e3o intracraniana ou mesmo para evitar a perda visual nos casos cr\u00f3nicos. Em particular, na s\u00edndrome do pseudotumor cerebral pode ser necess\u00e1rio o tratamento cir\u00fargico sendo uma das alternativas importantes a fenestra\u00e7\u00e3o da bainha do nervo \u00f3ptico. <a href=\"https:\/\/www.scielo.br\/scielo.php?script=sci_abstract&amp;pid=S0004-27492002000400002&amp;lng=pt&amp;nrm=iso&amp;tlng=pt\">\u2077<\/a><\/p>\n<\/div><\/section><\/p><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-23tuab-cd2c657ef779996c2de3855d667ac0f2\">\n#top .flex_column.av-23tuab-cd2c657ef779996c2de3855d667ac0f2{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n.flex_column.av-23tuab-cd2c657ef779996c2de3855d667ac0f2{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n.responsive #top #wrap_all .flex_column.av-23tuab-cd2c657ef779996c2de3855d667ac0f2{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n<\/style>\n<div  id=\"neurite\"  class='flex_column av-23tuab-cd2c657ef779996c2de3855d667ac0f2 av_one_full  avia-builder-el-20  el_after_av_one_full  el_before_av_one_full  first flex_column_div av-zero-column-padding  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-7uweta-706447023def099527ed4d52d8159016\">\n#top .av-special-heading.av-7uweta-706447023def099527ed4d52d8159016{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-7uweta-706447023def099527ed4d52d8159016 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-7uweta-706447023def099527ed4d52d8159016 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-7uweta-706447023def099527ed4d52d8159016 av-special-heading-h3 blockquote modern-quote  avia-builder-el-21  el_before_av_textblock  avia-builder-el-first '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Neurite \u00f3ptica<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>\u00c9 o acometimento do nervo \u00f3ptico decorrente de inflama\u00e7\u00e3o, infec\u00e7\u00e3o ou desmieliniza\u00e7\u00e3o do nervo e suas bainhas. Pode ser causa de edema de papila quando na sua por\u00e7\u00e3o anterior (papilite). Mas a neurite tamb\u00e9m pode ocorrer com fundo de olho normal sendo ent\u00e3o considerada uma forma retrobulbar.<\/p>\n<\/div><\/section><br \/>\n<section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Diferencia-se das outras causas de edema de papila pelas caracter\u00edsticas cl\u00ednicas incluindo:<\/p>\n<ol>\n<li>Perda visual de evolu\u00e7\u00e3o r\u00e1pida, em poucos dias, sendo o acometimento geralmente unilateral;<\/li>\n<li>Idade preferencial de acometimento entre 15 e 50 anos;<\/li>\n<li>Presen\u00e7a de dor periocular que pode preceder a perda visual;<\/li>\n<li>Redu\u00e7\u00e3o da acuidade visual que pode ser desde discreta at\u00e9 grave, sendo acompanhada de defeito pupilar aferente no olho acometido;<\/li>\n<li>Defeitos de campo visual que predominam na regi\u00e3o central;<\/li>\n<li>Edema de papila usualmente discreto ou moderado. Hemorragias s\u00e3o incomuns.<\/li>\n<\/ol>\n<\/div><\/section><br \/>\n<section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>A neurite \u00f3ptica pode ser idiop\u00e1tica ou associada a v\u00e1rias doen\u00e7as incluindo em especial a esclerose m\u00faltipla e outras doen\u00e7as autoimunes em particular a neuromielite \u00f3ptica. A perda visual geralmente \u00e9 muito mais grave nas neurites \u00f3pticas decorrentes do espectro da neuromielite \u00f3ptica. <a href=\"https:\/\/journals.lww.com\/jneuro-ophthalmology\/Fulltext\/2012\/06000\/Comparison_of_Visual_Acuity_and_Automated.2.aspx\">\u2078<\/a><\/p>\n<p>A perda visual pode ser quantificada pelos dados cl\u00ednicos em particular a acuidade e o campo visual (defeito predominante na regi\u00e3o central), mas pode tamb\u00e9m ser avaliada utilizando-se a tomografia de coer\u00eancia \u00f3ptica de alta resolu\u00e7\u00e3o, que possibilita a quantifica\u00e7\u00e3o da perda neural retiniana decorrente da neurite \u00f3ptica. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/22589446\">\u2079<\/a><\/p>\n<\/div><\/section><\/p><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-23tuab-4ee5dc6385cbec01710f4811e0bc8595\">\n#top .flex_column.av-23tuab-4ee5dc6385cbec01710f4811e0bc8595{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n.flex_column.av-23tuab-4ee5dc6385cbec01710f4811e0bc8595{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n.responsive #top #wrap_all .flex_column.av-23tuab-4ee5dc6385cbec01710f4811e0bc8595{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n<\/style>\n<div  id=\"isquemica\"  class='flex_column av-23tuab-4ee5dc6385cbec01710f4811e0bc8595 av_one_full  avia-builder-el-25  el_after_av_one_full  el_before_av_one_full  first flex_column_div av-zero-column-padding  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_heading-4b50891dca07367765cd90d05d623155\">\n#top .av-special-heading.av-av_heading-4b50891dca07367765cd90d05d623155{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-av_heading-4b50891dca07367765cd90d05d623155 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-av_heading-4b50891dca07367765cd90d05d623155 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-av_heading-4b50891dca07367765cd90d05d623155 av-special-heading-h3 blockquote modern-quote  avia-builder-el-26  el_before_av_textblock  avia-builder-el-first '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Neuropatia \u00f3ptica isqu\u00eamica anterior (NOIA)<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>A NOIA \u00e9 uma importante causa de edema de disco \u00f3ptico no paciente idoso. Pode ser de causa multifatorial, a denominada NOIA n\u00e3o arter\u00edtica, ou ser causada por vasculites em especial a arterite temporal. Esta \u00faltima \u00e9 uma afec\u00e7\u00e3o grave que representa uma urg\u00eancia m\u00e9dica, j\u00e1 que o diagn\u00f3stico precoce pode evitar a cegueira completa ou mesmo outras complica\u00e7\u00f5es decorrentes da doen\u00e7a.<\/p>\n<p>Embora a arterite temporal seja a causa mais grave, a maioria dos casos \u00e9 representada pela NOIA n\u00e3o arter\u00edtica, doen\u00e7a multifatorial onde est\u00e3o envolvidos fatores predisponentes anat\u00f4micos do disco \u00f3ptico <a href=\"https:\/\/www.scielo.br\/scielo.php?pid=S0004-27492006000600005&amp;script=sci_abstract&amp;tlng=pt\">\u00b9\u2070<\/a>, doen\u00e7as sist\u00eamicas predisponentes sist\u00eamicos e fatores desencadeantes <a href=\"https:\/\/www.scielo.br\/scielo.php?pid=S0004-27492011000100015&amp;script=sci_arttext&amp;tlng=en\">\u00b9\u00b9<\/a>\u00a0 <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/15348986\">\u00b9\u00b2<\/a><\/p>\n<p>O diagn\u00f3stico do edema de papila na NOIA \u00e9 feito clinicamente. O edema de papila ocorre na fase aguda da NOIA e pode ser difuso ou setorial, geralmente n\u00e3o muito acentuado. O edema pode ser p\u00e1lido ou hiper\u00eamico, embora o primeiro seja mais comum. Na maioria dos casos existem hemorragias associadas e estreitamento arteriolar peripapilar. O diagn\u00f3stico \u00e9 tamb\u00e9m baseado na idade do indiv\u00edduo (geralmente acomete indiv\u00edduos acima dos 50 anos), a hist\u00f3ria de perda s\u00fabita da vis\u00e3o e a presen\u00e7a de defeitos de campo visual que mais caracteristicamente s\u00e3o altitudinais.<\/p>\n<\/div><\/section><\/p><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-23tuab-fc3432208f6918c7ce8c925800241455\">\n#top .flex_column.av-23tuab-fc3432208f6918c7ce8c925800241455{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n.flex_column.av-23tuab-fc3432208f6918c7ce8c925800241455{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n.responsive #top #wrap_all .flex_column.av-23tuab-fc3432208f6918c7ce8c925800241455{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n<\/style>\n<div  id=\"compressivas\"  class='flex_column av-23tuab-fc3432208f6918c7ce8c925800241455 av_one_full  avia-builder-el-28  el_after_av_one_full  el_before_av_one_full  first flex_column_div av-zero-column-padding  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-3vs0pa-87f8603878ccdbd708f6912e96829046\">\n#top .av-special-heading.av-3vs0pa-87f8603878ccdbd708f6912e96829046{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-3vs0pa-87f8603878ccdbd708f6912e96829046 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-3vs0pa-87f8603878ccdbd708f6912e96829046 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-3vs0pa-87f8603878ccdbd708f6912e96829046 av-special-heading-h3 blockquote modern-quote  avia-builder-el-29  el_before_av_textblock  avia-builder-el-first '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Edema de papila nas neuropatias compressivas<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Les\u00f5es orbit\u00e1rias como a Orbitopatia de Graves, tumores e processos inflamat\u00f3rios da \u00f3rbita podem causar edema de papila. Na maioria dos casos o edema se acompanha de perda visual e proptose, limita\u00e7\u00e3o da motilidade ocular, aumento da resist\u00eancia orbit\u00e1ria \u00e0 retropuls\u00e3o e sinais congestivos como quemose e hiperemia conjuntival. As causas mais comuns s\u00e3o a Orbitopatia de Graves e os tumores de crescimento r\u00e1pido <a href=\"https:\/\/pesquisa.bvsalud.org\/bvsvs\/resource\/pt\/mdl-16985424\">\u00b9\u00b3<\/a><\/p>\n<p>O edema de papila nas neuropatias compressivas geralmente \u00e9 discreto ou moderado e pode se acompanhar de engurgitamento venso, dobras de coroide e veias optocoroidais. A altera\u00e7\u00e3o visual varia grandemente dependendo da doen\u00e7a da \u00f3rbita associada. Na suspeita de edema de papila por doen\u00e7a compressiva da \u00f3rbita \u00e9 fundamental solicitar exames de tomografia computadorizada e\/ou imagem por resson\u00e2ncia magn\u00e9tica da \u00f3rbita.<\/p>\n<\/div><\/section><\/p><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-23tuab-54a9312029cfa021f0fb6c6df0944312\">\n#top .flex_column.av-23tuab-54a9312029cfa021f0fb6c6df0944312{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n.flex_column.av-23tuab-54a9312029cfa021f0fb6c6df0944312{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n.responsive #top #wrap_all .flex_column.av-23tuab-54a9312029cfa021f0fb6c6df0944312{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n<\/style>\n<div  id=\"toxicas\"  class='flex_column av-23tuab-54a9312029cfa021f0fb6c6df0944312 av_one_full  avia-builder-el-31  el_after_av_one_full  el_before_av_one_full  first flex_column_div av-zero-column-padding  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kc0oeunl-7f70be77e0510b7c7db4084b51a62d28\">\n#top .av-special-heading.av-kc0oeunl-7f70be77e0510b7c7db4084b51a62d28{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-kc0oeunl-7f70be77e0510b7c7db4084b51a62d28 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-kc0oeunl-7f70be77e0510b7c7db4084b51a62d28 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-kc0oeunl-7f70be77e0510b7c7db4084b51a62d28 av-special-heading-h3 blockquote modern-quote  avia-builder-el-32  el_before_av_textblock  avia-builder-el-first '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Neuropatias t\u00f3xicas<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Neuropatias t\u00f3xicas representam um grupo heterog\u00eaneo de neuropatias \u00f3pticas que podem ser causadas por drogas e subst\u00e2ncias com caracter\u00edsticas bastante diferentes entre si. Entre as drogas e susbt\u00e2ncias t\u00f3xicas est\u00e3o inclu\u00eddas o etambutol, isoniazida, amiodarona, etileno glicol, \u00e1lcool met\u00edlico e organofosforados. Muitas destas neuropatias n\u00e3o cursam com edema de papila e quando esse est\u00e1 presente geralmente \u00e9 discreto, podendo ser acompanhado de hiperemia do disco \u00f3ptico. O diagn\u00f3stico \u00e9 feito principalmente levando-se em considera\u00e7\u00e3o os dados cl\u00ednicos de hist\u00f3ria, tipo de perda visual, exposi\u00e7\u00e3o \u00e0 subst\u00e2ncia e caracter\u00edsticas do defeito de campo visual.<\/p>\n<\/div><\/section><\/p><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-23tuab-b5ae3790d9ea62e1de33fcd62e865154\">\n#top .flex_column.av-23tuab-b5ae3790d9ea62e1de33fcd62e865154{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n.flex_column.av-23tuab-b5ae3790d9ea62e1de33fcd62e865154{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n.responsive #top #wrap_all .flex_column.av-23tuab-b5ae3790d9ea62e1de33fcd62e865154{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n<\/style>\n<div  id=\"oculares\"  class='flex_column av-23tuab-b5ae3790d9ea62e1de33fcd62e865154 av_one_full  avia-builder-el-34  el_after_av_one_full  el_before_av_one_full  first flex_column_div av-zero-column-padding  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-2562q6-c2a57e6e23248630611fa8f2435bf0bb\">\n#top .av-special-heading.av-2562q6-c2a57e6e23248630611fa8f2435bf0bb{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-2562q6-c2a57e6e23248630611fa8f2435bf0bb .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-2562q6-c2a57e6e23248630611fa8f2435bf0bb .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-2562q6-c2a57e6e23248630611fa8f2435bf0bb av-special-heading-h3 blockquote modern-quote  avia-builder-el-35  el_before_av_textblock  avia-builder-el-first '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Edema de papila em doen\u00e7as oculares<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>As principais afec\u00e7\u00f5es oculares que podem ser acompanhadas do disco \u00f3ptico s\u00e3o as uve\u00edtes, as oclus\u00f5es vasculares retinianas e a hipotonia ocular. Edema de papila com uve\u00edte pode ocorrer em v\u00e1rias condi\u00e7\u00f5es incluindo iridociclites, uve\u00edte intermedi\u00e1ria, vitre\u00edtes e vasculites retinianas, doen\u00e7a de Harada, oftalmia simp\u00e1tica, necrose aguda de retina e coriorretinites justapapilares. O diagn\u00f3stico correto de cada uma dessas afec\u00e7\u00f5es \u00e9 muito importante pois a confus\u00e3o com doen\u00e7as prim\u00e1rias do nervo \u00f3ptico pode levar a encaminhamentos totalmente incorretos, investiga\u00e7\u00f5es e tratamentos inadequados e\/ou incorretos.<\/p>\n<p>\u00c9 muito importante ficar atento aos casos de coriorretinite justapapilares, que quando discretas podem confundir com neurite \u00f3ptica levando a encaminhamento e investiga\u00e7\u00e3o neurol\u00f3gicos desnecess\u00e1rios e err\u00f4neos. O exame clinico atento, a presen\u00e7a de c\u00e9lulas no v\u00edtreo, o tipo de defeito campim\u00e9trico e o uso de exames complementares como a angiofluoresceinografia e a tomografia de coer\u00eancia \u00f3ptica auxiliam para um diagn\u00f3stico correto.<\/p>\n<\/div><\/section><\/p><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-23tuab-c82ce59a3f8a9edfc665fcaea1e63b87\">\n#top .flex_column.av-23tuab-c82ce59a3f8a9edfc665fcaea1e63b87{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n.flex_column.av-23tuab-c82ce59a3f8a9edfc665fcaea1e63b87{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n.responsive #top #wrap_all .flex_column.av-23tuab-c82ce59a3f8a9edfc665fcaea1e63b87{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n<\/style>\n<div  id=\"arterial\"  class='flex_column av-23tuab-c82ce59a3f8a9edfc665fcaea1e63b87 av_one_full  avia-builder-el-37  el_after_av_one_full  el_before_av_one_full  first flex_column_div av-zero-column-padding  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-28ibfi-ad672d348b87fe002ff7d04ab2cf73da\">\n#top .av-special-heading.av-28ibfi-ad672d348b87fe002ff7d04ab2cf73da{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-28ibfi-ad672d348b87fe002ff7d04ab2cf73da .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-28ibfi-ad672d348b87fe002ff7d04ab2cf73da .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-28ibfi-ad672d348b87fe002ff7d04ab2cf73da av-special-heading-h3 blockquote modern-quote  avia-builder-el-38  el_before_av_textblock  avia-builder-el-first '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Edema de papila em doen\u00e7as sist\u00eamicas<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>A hipertens\u00e3o arterial acelerada, o diabetes mellitus e a uremia podem ser acompanhados de edema de papila decorrentes de neuropatias \u00f3pticas cuja fisiopatogenia n\u00e3o \u00e9 bem determinada e por isso colocada de maneira separada daquelas mencionadas acima. <u>Na hipertens\u00e3o acelarada<\/u> quando existe edema de papila este \u00e9 acompanhado de sinais de retinopatia hipertensiva com vasoconstri\u00e7\u00e3o importante, hemorragias em chama de vela, exsudatos algodonosos e exsudados duros na retina. Acredita-se que seja uma forma especial e limitada de neuropatia isqu\u00eamica. A <u>papilopatia diab\u00e9tica<\/u> \u00e9 uma forma particular de neuropatia \u00f3ptica que foi usada para descrever o edema de papila de pacientes jovens com diabetes tipo I de longa dura\u00e7\u00e3o. \u00a0Alguns autores acreditam que seja na verdade uma forma de neuropatia \u00f3ptica isqu\u00eamica ocorrendo em indiv\u00edduos mais jovens, com substrato vascular diferente e maior resist\u00eancia do nervo \u00f3ptico a perda visual.\u00a0As principais caracter\u00edsticas s\u00e3o: a) frequentemente bilateral; b)Fun\u00e7\u00e3o visual relativamente preservada; c) Presen\u00e7a de altera\u00e7\u00f5es telengiect\u00e1sicas no disco \u00f3ptico, mas sem sinais claros de neovasculariza\u00e7\u00e3o; d) N\u00e3o se segue de atrofia \u00f3ptica significativa.<\/p>\n<p>Outras causas raras de edema de papila (geralmente discretos e associados a outras altera\u00e7\u00f5es retinianas mais evidentes) s\u00e3o a uremia, hipoxemia da alta altitude e doen\u00e7as hematol\u00f3gicas graves com anemia severa.<\/p>\n<\/div><\/section><\/p><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-33rs2r-c93d4393af5436c2a2cb836092cddd72\">\n.flex_column.av-33rs2r-c93d4393af5436c2a2cb836092cddd72{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-33rs2r-c93d4393af5436c2a2cb836092cddd72 av_one_full  avia-builder-el-40  el_after_av_one_full  avia-builder-el-last  first flex_column_div av-zero-column-padding  column-top-margin'     ><div  class='av-social-sharing-box av-kbv2qj7o-08b4e75ae03fda5eccfd0544f00b0dba av-social-sharing-box-default  avia-builder-el-41  avia-builder-el-no-sibling  av-social-sharing-box-fullwidth'><div class=\"av-share-box\"><h5 class='av-share-link-description av-no-toc '>Compartilhe<\/h5><ul class=\"av-share-box-list noLightbox\"><li class='av-share-link av-social-link-facebook avia_social_iconfont' ><a target=\"_blank\" aria-label=\"Share on Facebook\" href='https:\/\/www.facebook.com\/sharer.php?u=https:\/\/clinicamariomonteiro.com.br\/site\/diagnostico-diferencial-do-edema-de-papila\/&#038;t=Diagn%C3%B3stico%20Diferencial%20dos%20Edemas%20de%20Papila' data-av_icon='\ue8f3' data-av_iconfont='entypo-fontello'  title='' data-avia-related-tooltip='Share on Facebook'><span class='avia_hidden_link_text'>Share on Facebook<\/span><\/a><\/li><li class='av-share-link av-social-link-whatsapp avia_social_iconfont' ><a target=\"_blank\" aria-label=\"Share on WhatsApp\" href='https:\/\/api.whatsapp.com\/send?text=https:\/\/clinicamariomonteiro.com.br\/site\/diagnostico-diferencial-do-edema-de-papila\/' data-av_icon='\uf232' data-av_iconfont='entypo-fontello'  title='' data-avia-related-tooltip='Share on WhatsApp'><span class='avia_hidden_link_text'>Share on WhatsApp<\/span><\/a><\/li><li class='av-share-link av-social-link-linkedin avia_social_iconfont' ><a target=\"_blank\" aria-label=\"Share on LinkedIn\" href='https:\/\/linkedin.com\/shareArticle?mini=true&#038;title=Diagn%C3%B3stico%20Diferencial%20dos%20Edemas%20de%20Papila&#038;url=https:\/\/clinicamariomonteiro.com.br\/site\/diagnostico-diferencial-do-edema-de-papila\/' data-av_icon='\ue8fc' data-av_iconfont='entypo-fontello'  title='' data-avia-related-tooltip='Share on LinkedIn'><span class='avia_hidden_link_text'>Share on LinkedIn<\/span><\/a><\/li><li class='av-share-link av-social-link-mail avia_social_iconfont' ><a  aria-label=\"Share by Mail\" href='mailto:?subject=Diagn%C3%B3stico%20Diferencial%20dos%20Edemas%20de%20Papila&#038;body=https:\/\/clinicamariomonteiro.com.br\/site\/diagnostico-diferencial-do-edema-de-papila\/' data-av_icon='\ue805' data-av_iconfont='entypo-fontello'  title='' data-avia-related-tooltip='Share by Mail'><span class='avia_hidden_link_text'>Share by Mail<\/span><\/a><\/li><\/ul><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Edema de papila se refere a uma altera\u00e7\u00e3o oftalmosc\u00f3pica caracterizada pelo velamento e eleva\u00e7\u00e3o das margens a papila ou disco do nervo \u00f3ptico. Assim, \u00e9 um quadro sindr\u00f3mico que ocorre em uma s\u00e9rie de afe\u00e7\u00f5es do nervo \u00f3ptico sendo o seu diagn\u00f3stico diferencial extremamente importante.<\/p>\n","protected":false},"author":3,"featured_media":3908,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[36],"tags":[38,37],"class_list":["post-3902","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-edema-de-papila","tag-disco-optico","tag-edema-de-papila"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Edema de Papila - Diagn\u00f3stico Diferencial - Cl\u00ednica M\u00e1rio Monteiro<\/title>\n<meta name=\"description\" content=\"Edema de papila se refere a uma altera\u00e7\u00e3o oftalmosc\u00f3pica caracterizada pelo velamento e eleva\u00e7\u00e3o das margens a papila ou disco do nervo \u00f3ptico.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/clinicamariomonteiro.com.br\/site\/diagnostico-diferencial-do-edema-de-papila\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Edema de Papila - 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