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Related Experiment Video

Updated: Mar 23, 2026

Author Spotlight: Ex Vivo OCT-Based Multimodal Imaging of Human Donor Eyes for Research into Age-Related Macular Degeneration

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Optic disk drusen in children.

Melinda Y Chang¹, Stacy L Pineles¹

¹Department of Ophthalmology, Stein Eye Institute, Los Angeles, California, USA; University of California, Stein Eye Institute, Los Angeles, California, USA.

Survey of Ophthalmology

|April 2, 2016

Summary

This summary is machine-generated.

Optic disk drusen are calcified deposits in children that can mimic optic disk edema, potentially leading to unnecessary tests for high intracranial pressure. Early diagnosis with imaging and monitoring helps manage complications like visual field defects.

Keywords:

children choroidal neovascular membrane optic disk drusen pediatric pseudopapilledema

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Area of Science:

Ophthalmology
Pediatric Ophthalmology

Background:

Optic disk drusen are acellular deposits in the optic nerve head, affecting 0.4% of children.
These deposits often calcify and typically become visible later in childhood, around age 12.
Buried optic disk drusen can be mistaken for true optic disk edema.

Purpose of the Study:

To highlight the diagnostic challenges of optic disk drusen in children.
To emphasize the importance of differentiating drusen from true optic disk edema to avoid unnecessary invasive procedures.
To outline diagnostic methods and potential complications associated with optic disk drusen in pediatric patients.

Main Methods:

Review of clinical significance and diagnostic features of optic disk drusen.
Discussion of ancillary testing including ultrasonography, fluorescein angiography, fundus autofluorescence, and optical coherence tomography.
Analysis of potential complications and their management.

Main Results:

Optic disk drusen can simulate optic disk edema, leading to misdiagnosis and unnecessary workup for elevated intracranial pressure.
Ancillary tests are crucial for accurate diagnosis of optic disk drusen.
Complications include visual field defects, hemorrhages, choroidal neovascularization, and vascular occlusions.

Conclusions:

Accurate diagnosis of optic disk drusen in children is essential to prevent unnecessary invasive investigations.
Utilizing advanced imaging techniques aids in differentiating drusen from true optic disk edema.
Management involves observation and serial testing after excluding true optic disk edema, with specific treatments for identified complications.