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Choroidal neovascular membrane associated with optic nerve head drusen in a child
1W. K. Kellogg Eye Center, University of Michigan, Ann Arbor 48105, USA.
Purpose:
To illustrate the diagnosis, evaluation, and complications of pseudopapilledema in children.
Methods:
We examined a 9-year-old boy who had suspected papilledema and a retinal mass. He had undergone neuroradiologic imaging at an outside facility.
Results:
Clinical examination of the patient provided the diagnosis of optic nerve head drusen, pseudopapilledema, and a cicatrized choroidal neovascular membrane. Examination of the boy's parents disclosed optic nerve head drusen in the father.
Conclusions:
Choroidal neovascular membranes caused by optic nerve head drusen are uncommon in children. Clinical examination of the patient and family members, along with B-scan ultrasonography, can establish this cause. Neuroradiologic testing is unnecessary, and carries risk related to the need for sedation.