The mnemonic
Papilloedema Preserved, Papillitis Poor
What each word stands for
- Papilloedema PreservedVisual acuity is preserved early; usually bilateral with raised intracranial pressure
- Papillitis PoorOptic neuritis gives poor acuity, pain on eye movement, usually unilateral, with an RAPD
Why it matters clinically
Distinguishes a neurosurgical emergency from optic neuritis at the bedside.
Where it stops being reliable
Long-standing papilloedema eventually reduces vision.
Teaching aid, still awaiting independent review. Confirm facts in a standard source.