Serous macular detachment due to diabetic papillopathy detected using optical coherence tomography.

Diabetic papillopathy (DP) is a syndrome characterized by self-limited unilateral or bilateral optic disc swellingassociatedwithminimalornopermanent loss of visual function. Diabetic papillopathy may occur in patients with type 1 diabetes mellitus (DM) and type 2 DM, with approximately a 0.5% incidence irrespective of metabolic control and severity of diabetic retinopathy. Reportedly, DP often (in approximately 70% of cases) accompanies macular edema, which is a major cause of vision loss in patients with DPevenwithout retinal capillary leakage and is presumed to be an extension of disc edema in some cases of DP. However, its precise features have not been fully investigated. This study analyzes the macular lesions in 3 patients with DP using optical coherence tomography (OCT) (Carl Zeiss Meditec, Inc, Dublin, California).