Optic disc drusen presenting as papilledema: a case report

Authors

  • S Sitaula Department of Ophthalmology, Maharajgunj Medical Campus, Institute of Medicine, Tribuvan University, Kathmandu
  • M Thapa Department of Ophthalmology, Maharajgunj Medical Campus, Institute of Medicine, Tribuvan University, Kathmandu
  • AK Sharma Department of Ophthalmology, Maharajgunj Medical Campus, Institute of Medicine, Tribuvan University, Kathmandu

Keywords:

Autofluoresence, Optic disc drusen, Papilledema

Abstract

Optic disc drusens, which are congenital anomalies of optic nerve head, are depositions of mucopolysaccharides and pro­teinaceous material within the optic nerve head. They are usually bilateral and diagnosed incidentally during routine fundus examination where they may be mistaken for papilledema. We report a case of 63 year old female referred to the neuro-ophthalmology department with the clinical suspicion of disc edema. Simple noninvasive investigations like ultrasound B-scan, fundus autofluorescene along with the newer test like spectral domain optical coherence tomography helped us to diagnose it as a case of pseudopapilledema, as optic disc drusen. Thus, a high index of suspicion along with the ancillary tests is helpful in differentiating optic disc drusen from true papilledema.

DOI: http://dx.doi.org/10.3126/jcmc.v4i1.10848

Journal of Chitwan Medical College 2014; 4(1): 42-44

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Published

2014-07-30

How to Cite

Sitaula, S., Thapa, M., & Sharma, A. (2014). Optic disc drusen presenting as papilledema: a case report. Journal of Chitwan Medical College, 4(1), 42–44. Retrieved from https://www.nepjol.info/index.php/JCMC/article/view/10848

Issue

Section

Case Reports