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Optic disc drusen: complications and management.

Mira Silbert Aumiller¹

¹Wilmington Veterans Administration Medical Center, Wilmington, Delaware 19805, USA. msaumiller@yahoo.com

Optometry (St. Louis, Mo.)

|January 9, 2007

Summary

Disc drusen, though often benign, can lead to sight-threatening ocular complications. Regular monitoring is crucial for early detection and management of these potential issues.

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Area of Science:

Ophthalmology
Retinal Diseases

Background:

Disc drusen affect 0.3% of the population, frequently bilaterally.
Ophthalmoscopic appearance of disc drusen evolves over a patient's lifetime.

Observation:

A 43-year-old patient with bilateral buried disc drusen presented for a routine exam.
Subretinal neovascular membrane (SNVM) and hemorrhage were observed in the right eye.
A small hemorrhage was noted in the fellow eye.

Findings:

The patient had bilateral buried disc drusen.
A subretinal neovascular membrane (SNVM) with hemorrhage was diagnosed.
Treatment was deferred due to the nasal disc location of the SNVM.

Implications:

Disc drusen diagnosis is critical to differentiate from conditions like disc edema.
While typically benign, disc drusen can cause potentially sight-threatening ocular complications.
Regular patient monitoring is essential to detect and manage these complications.

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