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OPHTHALMIC IMAGE
Year : 2019  |  Volume : 67  |  Issue : 2  |  Page : 278

Autofluorescence of optic disc drusens


Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Date of Web Publication23-Jan-2019

Correspondence Address:
Dr. Reema Bansal
Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh - 160 012
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_888_18

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How to cite this article:
Menia NK, Kiran S, Bansal R. Autofluorescence of optic disc drusens. Indian J Ophthalmol 2019;67:278

How to cite this URL:
Menia NK, Kiran S, Bansal R. Autofluorescence of optic disc drusens. Indian J Ophthalmol [serial online] 2019 [cited 2019 Jun 17];67:278. Available from: http://www.ijo.in/text.asp?2019/67/2/278/250690



A 67-year-old male presented with blurred vision (6/12) for 4 months, with pseudophakia and normal intraocular pressure in both eyes. The optic discs were small, with lumpy bumpy border, peripapillary atrophy, and yellowish irregular deposits on the surface [Figure 1]a and [Figure 1]b, which were brightly hyperautofluorescent on fundus autofluorescence [Figure 1]c and [Figure 1]d, and hyper-reflective on ultrasonography B-scan with acoustic shadowing, suggestive of drusens. The patient was advised refraction, visual field testing, and fluorescein angiography. Optic disc drusens are calcified deposits, typically autofluorescent, occurring in small, crowded discs. They may often mimic papilledema. Relevant imaging such as fundus autofluorescence helps to differentiate drusens from papilledema, thereby avoiding unnecessary neurological investigations.[1],[2],[3],[4]
Figure 1: Right (a) and left (b) eye fundus photographs showing lumpy bumpy margins of both optic discs. Fundus autofluorescence (c and d) of both eyes showing hyperautofluorescence of optic disc drusens

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There are no conflicts of interest.



 
  References Top

1.
Auw-Haedrich C, Staubach F, Witschel H. Optic disk drusen. SurvOphthalmol 2002;47:515-32.  Back to cited text no. 1
    
2.
Sato T, Mrejen S, Spaide RF. Multimodal imaging of optic disc drusen. Am J Ophthalmol 2013;156:275-82.  Back to cited text no. 2
    
3.
Dinc UA, Tatlipinar S, Gorgun E, Yenerel M. Fundus autofluorescence in optic disc drusen: comparison of confocal scanning laser ophthalmoscope and standard fundus camera. Neuro-Ophthalmology 2009;33:318-21.  Back to cited text no. 3
    
4.
Fong CY, Williams C, Pople IK, Jardine PE. Optic disc drusen masquerading as papilloedema. Arch Dis Child2010;95:629.  Back to cited text no. 4
    


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