Aims and objectives : To study the aetiological pattern in Papilledema,To study the involvement of 6th cranial Nerve in Papilledema, To study the visual acuity pattern in papilledema,To study the visual field pattern in papilledema. Materials and Methods: This observational study was conducted at andhra Medical College ,vizag for a period of 4 months from feb 2022 to may 2022 .After taking informed consent of 15 Patients with papilledema who were referred from various departments in KGH were examined thoroughly as per proforma. We included patients with papilledema on ophthalmoscopic examination admitted in department of medicine . We excluded patients with optic disc swelling due to other cause that do not involve raised intracranial pressure, and Patient with head injury.All subjects were subjected to routine and special investigation to ascertain the Etiological Proportion of papilledema.In this study patients included on the basis of fundus examination done by slit lamp examination with 78D, and graded according to frisen scale of papilledema . Patients who had papilledema undergoes to evaluation of history, general examination and investigational work up. Then all patient had neuroimaging to detect intracranial pathology and lumbar puncture done in those patient who have no contraindication. Results:Among 15 cases majority were Females(60%),majorly are of 3rd & 4th decade,vision improving to 6/6 with correction (90%),mri showed space occupying lesions(53.3%),associated with 6th nerve palsy in (44.4%),visual fields showed enlarged blind spot in most of the cases(47%). Conclusion:in our study most common etiological factor is space occupying lesion.not all papilledema are associated with 6th nerve palsy.not all papilledemas have visual field defects.