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Optic Disc Drusen
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Demographics: 70 years old, Female
Indication: Vision Changes

Optic Disc Drusen

Findings

  • No foreign body.  Punctate calcification at the junction of the optic nerve and globe bilaterally, compatible with optic disc drusen.

Diagnosis

Optic Disc Drusen

Discussion

  • Optic disc drusen are calcified hyaline material.

    • Most commonly occur at the optic disc (i.e. the point of entry of the optic nerve at the retina), but can occur anywhere along the retina.

    • Typically punctate in size.

    • Usually easy to differentiate from an orbital mass or foreign body given characteristic location at the optic disc and absence of an associated mass.

    • Typically occur in older patients with age-related macular degeneration, but can occur in younger patients.

    • They can be a mimic for papilledema on fundoscopic exam ("pseudopapilledema").

Annotated Images & Illustrations

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