This patient was worked up to rule out raised intracranial pressure. No raised pressure was found. Although the initial tendency for this condition is to diagnose a central retinal vein occlusion, the disk edema and relatively good vision help make the diagnosis of papillophlebitis. This condition is rare, but tends to appear in young, healthy patients who present with little or no visual complaint. Disk edema, vasculitis, and enlarged blind spot are characteristic. The condition tends to resolve by itself over weeks to months, although some will be treated with systemic steroids, as was the case with this patient. Her vision and retinal appearance returned to normal in about six weeks. The etiology of papillophlebitis is unknown, although vitreal traction has been suspected in some cases. Incomplete, or relative central retinal vein occlusion has also been suggested.