Dr.Lokesh Jain
OBJECTIVE: Optic disc drusen are condensations of hyaline-like material within the substance of the optic nerve head.Optic Nerve Head Drusen(ONHD) is encountered in approximately 0.3% of the population and are often bilateral.MATERIAL & METHODS: A 27year old male patient presented to us with difficulty in peripheral vision. Appropriate ocular workup including visual fields, B-scan ultrasonography, Fundus fluorescein angiography,Fundus photographs and Heidelberg Tomograph imaging and systemic examination was also done.
RESULTS:Fundus examination showed waxy pearl like lesions on the disc,Visual field showed inferior arcuate defects in both the eyes,red free photograph showed autofluorescence,B-scan ultrasonograghy showed high reflective echo in optic nerve head shadow.Diagnosis of bilateral optic nerve head drusen was made.
CONCLUSION: There is no existing treatment for optic nerve head drusen. Proper follow up and patient education is the best-available modality of care.
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