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Ex Vivo OCT-Based Multimodal Imaging of Human Donor Eyes for Research into Age-Related Macular Degeneration
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[Optic disc drusen or true papilledema?].

R H Khonsari1, M Wegener, S Leruez

  • 1Service de chirurgie maxillofaciale et stomatologie, CHRU de Nantes, Nantes, France. bwv_1029@yahoo.fr

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Bilateral optic disc drusen can mimic papilledema, leading to unnecessary procedures. Ophthalmoscopy and ocular ultrasonography aid in diagnosing these benign calcified masses, preventing misdiagnosis.

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Area of Science:

  • Ophthalmology
  • Neuro-ophthalmology

Context:

  • Bilateral optic disc drusen can be mistaken for papilledema.
  • This misdiagnosis can lead to concerns about intracranial hypertension.
  • Unnecessary invasive procedures may result from this diagnostic confusion.

Purpose:

  • To highlight the diagnostic challenges of optic disc drusen.
  • To emphasize the importance of accurate diagnosis to avoid unnecessary interventions.

Summary:

  • Optic disc drusen are benign calcified deposits in the optic nerve head.
  • Early-stage or buried drusen can be difficult to diagnose clinically.
  • Ophthalmoscopy and B-scan ultrasonography are key diagnostic tools.
  • Visual field loss is a potential complication of longstanding optic disc drusen.

Impact:

  • Accurate diagnosis of optic disc drusen prevents unnecessary investigations for intracranial hypertension.
  • Facilitates appropriate management and patient counseling.
  • Reduces patient anxiety and healthcare costs associated with misdiagnosis.