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. Author manuscript; available in PMC: 2013 Jun 5.
Published in final edited form as: J Pediatr Neurol. 2009;7(4):381–388. doi: 10.3233/JPN-2009-0317

Table 3.

Proposed classification of acute papilledema

Mild papilledema 1–3 quadrants of abnormal elevation of the disc with blurring of the margin, no disc hemorrhages
Moderate papilledema Any of the following:
  • –

    Abnormal elevation of the disc with blurring of the margin in four quadrants

  • –
    Any abnormal elevation of the disc with:
    • –
      Disc hemorrhages (less than or equal to 2)
    • –
      Dilated pre-papillary capillaries
Severe papilledema Any of the following
  • –

    Marked elevation of the disc with blurred margin and loss of the optic disc cup.

  • –
    Any elevation of the disc with:
    • –
      Three or more disc hemorrhages (In the case of doubt graders should categorize lesions as present if they are ≥ 50% certain of their presence).