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Bilateral optic disc drusen mimicking papilledema
Alparslan Sahin1, Abdullah Kürşat Cingü, Seyhmus Ari
1Department of Ophthalmology, Dicle University Faculty of Medicine, Diyarbakır, Turkey. dralparslansahin@gmail.com
Journal of Clinical Neurology (Seoul, Korea)
|July 13, 2012
Summary
Optic disc drusen can mimic papilledema, leading to misdiagnosis. Accurate diagnosis through specific ophthalmic evaluations is crucial to avoid unnecessary interventions for optic nerve head swelling.
Area of Science:
- Ophthalmology
- Neuro-ophthalmology
Background:
- Optic disc drusen are calcified deposits anterior to the lamina cribrosa.
- These deposits can clinically resemble papilledema, a swelling of the optic nerve head.
Purpose of the Study:
- To report cases of optic disc drusen that were initially suspected of having papilledema.
- To highlight diagnostic methods for differentiating optic disc drusen from papilledema.
Main Methods:
- Case series involving three patients referred with suspected disc swelling and papilledema.
- Ophthalmologic evaluation included B-scan ultrasound, red-free fundus photography, and computed tomography.
Main Results:
- Papilledema was excluded in all three cases.
- Optic disc drusen were diagnosed in all referred patients.
Conclusions:
- Clinical suspicion of optic disc drusen is vital in patients with optic nerve head swelling.
- Accurate diagnosis prevents unnecessary interventions and patient anxiety.
- Understanding clinical presentations aids in diagnosis and management.
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