Diabetic papillopathy is more often associated with Type 1 or Type 2 diabetes?

• A. Type 1
• B. Type 2
• C. Gestational
• D. Type 3

Answer: (A)

Diabetic papillopathy is optic disc swelling that occurs in the setting of diabetes. It is most commonly seen in younger patients with type 1 diabetes, where juvenile-onset diabetes brings early microvascular changes that can involve the optic nerve head and produce edema. This presentation often resolves on its own over weeks to months with little or no lasting vision loss. In contrast, type 2 diabetes tends to present later in life with established retinopathy, and papillopathy is much less common in that group. So the strongest association is with type 1 diabetes.