Diabetic papillitis

Abstract Diabetic papillitis is a rare condition associated with diabetes mellitus, characterized by edema and hyperemia of the optic nerve head, commonly unilateral but potentially bilateral. Its occurrence is linked to glycemic control disturbances, although the condition may be asymptomatic in many cases. Diagnosis is confirmed through ophthalmologic examinations such as fundoscopy and optical coherence tomography, which help quantify edema and monitor its progression. We report the case of a 53-year-old patient with poorly controlled type 2 diabetes and hypertension, who presented with sudden vision loss associated with diabetic papillitis and severe diabetic retinopathy. After additional tests, strict follow-up was initiated with an emphasis on glycemic control. While the course of diabetic papillitis is generally self-limiting, adequate glycemic control is essential to prevent disease progression and the occurrence of permanent sequelae. This case underscores the need for early diagnosis and continuous monitoring of ocular health in diabetic patients.