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  • Title: Optic disc drusen: complications and management.
    Author: Aumiller MS.
    Journal: Optometry; 2007 Jan; 78(1):10-6. PubMed ID: 17208669.
    Abstract:
    BACKGROUND: Disc drusen have been found clinically in 0.3% of the population with up to 91% presenting bilaterally. Disc drusen gradually change in their ophthalmoscopic appearance throughout a patient's lifespan. This case highlights the possible ocular complications of disc drusen and the complexity in their treatment because of the risk of visual acuity loss. CASE REPORT: A 43-year-old patient with documented bilateral buried disc drusen presented without symptoms for a routine examination. A subretinal neovascular membrane (SNVM) one quarter of a disc diameter in size with an adjacent subretinal hemorrhage was observed in the right eye with a small subretinal hemorrhage in the fellow eye. The patient was evaluated by a retinologist who deferred photocoagulation of the SNVM considering its nasal disc location. CONCLUSIONS: Diagnosing disc drusen is critical because of the serious pathology they can mimic, including disc edema. Although typically benign, patients with disc drusen should be monitored on a regular basis to rule out ocular complications, which can be potentially sight threatening.
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