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Related Experiment Videos

[Drusen in children: three case studies].

R Kamoun1, I Mili Boussen, O Beltaief

  • 1Hôpital Charles Nicolle, Boulevard 9 Avril, Tunis, Tunisie. rim_kamoun@yahoo.fr.

Journal Francais D'Ophtalmologie
|April 11, 2008
PubMed
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Optic disc drusen in children often present as pseudopapilledema. Ocular ultrasonography is a sensitive tool for diagnosing these buried optic disc drusen, avoiding costly imaging.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Neuro-ophthalmology

Background:

  • Optic disc drusen are calcified deposits within the optic nerve head.
  • They can mimic papilledema, a swelling of the optic disc due to increased intracranial pressure.
  • Accurate diagnosis is crucial in pediatric patients to rule out serious underlying conditions.

Observation:

  • Three pediatric cases of optic disc drusen are presented, with ages ranging from 5 months to 11 years.
  • Clinical presentation included unilateral or bilateral optic disc drusen, often associated with pseudopapilledema.
  • Associated conditions included Down syndrome, Alagille syndrome, and high myopia.

Findings:

  • Funduscopic examination revealed pseudopapilledema in all cases, characterized by elevated discs with blurred margins.

Related Experiment Videos

  • Ocular ultrasonography confirmed the presence of optic disc drusen in all three children.
  • CT scan identified optic disc calcification in only one case.

    • Implications:

    • In pediatric patients, buried optic disc drusen can lead to a pseudopapilledema appearance.
    • Ocular ultrasonography is a highly sensitive and cost-effective method for diagnosing optic disc drusen in children.
    • This imaging modality can obviate the need for more expensive and potentially invasive investigations.