<strong>Background:</strong> The optic coherence tomography constitute one of the most revolucionary tool in the ophtalmic diagnosis in the latest years, and is very useful in the papilledema studies. <strong><br />Objectives: </strong>Evaluate the optic coherence tomography useful in papilledema diagnosis. <br /><strong>Methods:</strong> Prospective, observacional and analytic study made since may to october 2007 in the neuroophtalmology deparment, Ophtalmology Cuban Institute “ Ramón Pando ferrer”. Were studied 27 patients that presented a typical papilledema in the first episode at least with 2 months of duration. <strong><br />Results:</strong> The female sex was predominant with 27 of medium age. The medium thickness values of nervous fiber layer were stadistic important betwen the sectors (p=0.000). The nervous fiber layer thickness was predominant in order to frequency in lower, upper, nasal and temporal sectors. <strong><br />Conclusions: </strong> The optic coherence tomography constitute an useful instrument to papilledema diagnosis
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