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Optic nerve head drusen and glaucoma.

J R Samples, M van Buskirk, W T Shults

    Archives of Ophthalmology (Chicago, Ill. : 1960)
    |November 1, 1985
    PubMed
    Summary
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    Diagnosing glaucoma is challenging when optic nerve head drusen are present. This co-occurrence complicates the assessment of visual field defects and optic nerve appearance, requiring careful monitoring.

    Area of Science:

    • Ophthalmology
    • Neuro-ophthalmology

    Background:

    • Glaucoma and optic nerve head drusen can coexist, complicating diagnosis.
    • Pigmentary glaucoma and pigmentary dispersion syndrome are frequently associated with this comorbidity.

    Observation:

    • Five patients with both optic nerve head drusen and glaucoma were studied.
    • Four of the five patients had pigmentary glaucoma or pigmentary dispersion syndrome.

    Findings:

    • Optic nerve head drusen do not prevent glaucoma-related cupping.
    • Drusen interfere with the accurate interpretation of optic nerve head cupping and visual field defects.

    Implications:

    • Management necessitates regular visual field testing and optic disc imaging.
    • Maintaining low intraocular pressure is crucial for patients with coexisting glaucoma and optic nerve head drusen.

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