[Papilledema. Follow-up using laser scanning tomography].

Normally, the elevation of optic disk swelling is measured by ophthalmoscopy. Laser scanning tomography (LST) permits three-dimensional analysis of distinct intraocular structures under in vivo conditions with high accuracy. We present a case of papillitis, in which the elevation could be determined as 550 microns, leading to a volume of 1.48 mm3, increasing to an elevation of 870 microns and a volume of 1.72 mm3 11 days later. Clinically, we found a swelling of about 1 D in the first examination, increasing to 2 D at the maximum. Six weeks later there was only a distinct temporal pallor to be seen, while the LST showed us an elevation of 190 microns (volume 0.22 mm3).