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Bilateral Optic Disc Drusen Mimicking Papilledema

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Background Optic disc drusen, which are calcified deposits that form anterior to the lamina cribrosa in the optic nerve, may mimic papilledema. Case Report We report herein three cases referred to us with suspicion of disc swelling and papilledema. Following ophthalmologic evaluation with B-scan ultrasound, red-free fundus photography, and computed tomography, the diagnosis of papilledema was excluded in all cases and optic disc drusen was diagnosed. Conclusions Clinical suspicion of optic disc drusen in cases presenting with swelling of the optic nerve head is important in order to avoid unnecessary interventions and anxiety. The reported cases highlight the commonly encountered clinical presentations and the practical aspects of diagnosis and management of optic disc drusen.

Abstract

Background Optic disc drusen, which are calcified deposits that form anterior to the lamina cribrosa in the optic nerve, may mimic papilledema. Case Report We report herein three cases referred to us with suspicion of disc swelling and papilledema. Following ophthalmologic evaluation with B-scan ultrasound, red-free fundus photography, and computed tomography, the diagnosis of papilledema was excluded in all cases and optic disc drusen was diagnosed. Conclusions Clinical suspicion of optic disc drusen in cases presenting with swelling of the optic nerve head is important in order to avoid unnecessary interventions and anxiety. The reported cases highlight the commonly encountered clinical presentations and the practical aspects of diagnosis and management of optic disc drusen.

참고문헌 (10)

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  3. Davis PL, "Optic nerve head drusen", Semin Ophthalmol, 18, pp.222~242 (2003)
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  6. Antcliff RJ, "Are optic disc drusen inherited?", Ophthalmology, 106, pp.1278~1281 (1999)
  7. Wilkins JM, "Visual manifestations of visible and buried optic disc drusen", J Neuroophthalmol, 24, pp.125~129 (2004)
  8. Lee AG, "The rate of visual field loss in optic nerve head drusen", Am J Ophthalmol, 139, pp.1062~1066 (2005)
  9. Patel NN, "Optical coherence tomography", scanning laser ophthalmoscopy imaging of optic nerve head drusen, 2010, pp.41, 614~621
  10. Kurz-Levin MM, "A comparison of imaging techniques for diagnosing drusen of the optic nerve head", Arch Ophthalmol, 117, pp.1045~1049 (1999)

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