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Retinal complications of optic disc drusen
The British Journal of Ophthalmology
|February 1, 1982
Summary
Optic disc drusen can cause extensive retinopathy, including macular involvement and vision loss. This study defines a new syndrome,
Area of Science:
- Ophthalmology
- Retinal Diseases
- Neuro-ophthalmology
Background:
- Optic disc drusen are acellular deposits within the optic nerve head.
- Previous reports linked optic disc drusen to retinal hemorrhages.
Observation:
- A study followed 19 patients with optic disc drusen and associated retinal findings.
- Four patients had hemorrhages limited to the optic disc.
- Fifteen patients exhibited extensive retinopathy with macular involvement; 3 had serous retinopathy.
Findings:
- Key features include optic disc drusen, extensive retinal hemorrhage, and intraretinal fluid extravasation.
- Retinal elevation and striae formation were observed, radiating towards the macula.
- Macular pigmentary changes occurred post-resolution, but vision recovery was often good.
Implications:
- A distinct clinical syndrome, 'optic disc drusen retinopathy,' is proposed.
- Understanding this syndrome aids in diagnosis and management of related visual disturbances.
- This research highlights the potential for significant retinal pathology associated with optic disc drusen.
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