|Year : 2019 | Volume
| Issue : 2 | Page : 278
Autofluorescence of optic disc drusens
Nitin K Menia, Swati Kiran, Reema Bansal
Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India
|Date of Web Publication||23-Jan-2019|
Dr. Reema Bansal
Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh - 160 012
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Menia NK, Kiran S, Bansal R. Autofluorescence of optic disc drusens. Indian J Ophthalmol 2019;67:278
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.,,,
|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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