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Prevalence Screening for Familial Optic Disc Drusen: A Cross-Sectional Study.

Alvilda H Steensberg1, Lasse Malmqvist1, Mette Bertelsen2

  • 1Department of Ophthalmology, Copenhagen University Hospital - Rigshospitalet, Glostrup, Denmark.

Neuro-Ophthalmology (Aeolus Press)
|September 8, 2025
PubMed
Summary

Optic disc drusen (ODD) often runs in families, suggesting a genetic link. This study found familial ODD in most screened families, supporting an autosomal dominant inheritance pattern with incomplete penetrance.

Keywords:
EDI-OCTOptic disc drusen inheritancegeneticsheredityoptic disc drusenoptic nerve head drusen

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Area of Science:

  • Ophthalmology
  • Genetics
  • Medical Imaging

Background:

  • Optic disc drusen (ODD) may have a hereditary component, but its prevalence in families is largely unknown.
  • Individuals are often asymptomatic and unaware of ODD, complicating familial screening.

Purpose of the Study:

  • To estimate the prevalence and inheritance pattern of familial ODD.
  • To investigate ODD-related visual symptoms and their association with ODD location and size.

Main Methods:

  • Cross-sectional study including 22 ODD patients and 24 family members.
  • Enhanced depth imaging optical coherence tomography (EDI-OCT) used to assess ODD presence, size, and location.
  • Correlation of visual symptoms with ODD characteristics.

Main Results:

  • Familial ODD was identified in 8 out of 13 screened families.
  • Hyperreflective lines on EDI-OCT were present in all ODD individuals and some without ODD, suggesting incomplete penetrance.
  • Visual symptoms (14-50%) were significantly associated with superficial ODD location.

Conclusions:

  • ODD demonstrates familial clustering, supporting an autosomal dominant inheritance pattern with incomplete penetrance.
  • Hyperreflective lines may indicate a less expressed form of ODD.
  • Genetic factors likely contribute to the etiology of ODD.