We describe a case of bilateral papillophlebitis with disc edema, scattered cotton-wool spots, flame-shaped hemorrhages, and
exudates around the optic discs and in the macula of a 33-year-old patient with essential hypertension. The pathophysiology
and natural course of the disease is discussed.
The author has stated that he does not have a significant financial interest or other relationship with any product manufacturer
or provider of services discussed in this article. The author also does not discuss the use of off-label products, which include
unlabeled, unapproved, or investigative products or devices.
The author describes a case of bilateral papillophlebitis in a patient with essential hypertension in which significant visual
improvement is seen following stabilization of the blood pressure.