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Central serous papillopathy by optic nerve head drusen
Ana Marina Suelves1, Ester Francés-Muñoz, Roberto Gallego-Pinazo
1Department of Ophthalmology, La Fe University Hospital, Valencia, Spain. ana.suelves@gmail.com
Clinical Ophthalmology (Auckland, N.Z.)
|December 24, 2010
Summary
Optic disc drusen can cause central serous papillopathy, leading to blurred vision. This case highlights concurrent peripapillary and macular detachment in patients with optic nerve head drusen.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Neuro-ophthalmology
Background:
- Optic disc drusen are abnormal calcifications within the optic nerve head.
- Central serous chorioretinopathy (CSC) is a condition causing fluid accumulation under the retina.
- Optic disc drusen are associated with various optic nerve and retinal pathologies.
Observation:
- A 38-year-old male presented with acute blurred vision in his right eye.
- The patient had bilateral optic disc drusen.
- Ocular examination revealed bilateral peripapillary serous detachment and right macular detachment.
Findings:
- Fluorescein angiography showed hyperfluorescent foci in the optic discs and arcade.
- Optical coherence tomography confirmed serous detachments around the optic nerve and macula.
- This is the first reported case of concurrent peripapillary and macular detachment in a patient with optic disc drusen-associated central serous papillopathy.
Implications:
- Central serous papillopathy (CSP) associated with optic disc drusen can cause significant vision loss.
- CSP should be considered in the differential diagnosis of acute vision loss in patients with optic nerve head drusen.
- This finding expands the understanding of atypical presentations of central serous chorioretinopathy.
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