Computed tomographic identification of calcified optic nerve drusen.

H, Ramirez; Blatt, Ethyl S.; Hibri, Nadi S.

doi:10.1148/radiology.148.1.6856823

Cited by 18 publications

(8 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Various ancillary tests, including B-scan ultrasonography, 55; 105; 151; 168 fundus autofluorescence, 95; 140; 145 orbital computed tomography (CT) scan, 12; 131; 162 fluorescein angiography (FA), 24; 159; 177 scanning laser ophthalmoscopy, 75; 103; 187 electrophysiology, 17; 18; 23; 142; 186 and more recently optical coherence tomography (OCT), 31; 88; 112; 125; 215 have been used to identify optic disc drusen. These tests may be less useful in children who typically have buried drusen that are more difficult to detect.…”

Section: Diagnostic Testingmentioning

confidence: 99%

See 1 more Smart Citation

Optic disk drusen in children

Chang

Pineles

2016

Survey of Ophthalmology

112

View full text Add to dashboard Cite

Optic disc drusen occur in 0.4% of children and consist of acellular intracellular and extracellular deposits that often become calcified over time. They are typically buried early in life and generally become superficial, and therefore visible, later in childhood, at the average age of 12 years. Their main clinical significance lies in the ability of optic disc drusen, particularly when buried, to simulate true optic disc edema. Misdiagnosing drusen as true disc edema may lead to an invasive and unnecessary workup for elevated intracranial pressure. Ancillary testing, including ultrasonography, fluorescein angiography, fundus autofluorescence, and optical coherence tomography, may aid in the correct diagnosis of optic disc drusen. Complications of optic disc drusen in children include visual field defects, hemorrhages, choroidal neovascular membrane, non-arteritic anterior ischemic optic neuropathy, and retinal vascular occlusions. Treatment options for these complications include ocular hypotensive agents for visual field defects and intravitreal anti-vascular endothelial growth factor (anti-VEGF) agents for choroidal neovascular membranes. In most cases, however, children with optic disc drusen can be managed by observation with serial examinations and visual field testing, once true optic disc edema has been excluded.

show abstract

Section: Diagnostic Testingmentioning

confidence: 99%

“…12; 82; 105; 131; 162; 217 Like B-scan ultrasonography, CT detects calcification of drusen. It is limited by the 1.5 mm thickness of slices, which may miss drusen, and has been shown to be inferior to ultrasonography.…”

Section: Diagnostic Testingmentioning

confidence: 99%

Optic disk drusen in children

Chang

Pineles

2016

Survey of Ophthalmology

112

View full text Add to dashboard Cite

show abstract

“…89,90,[105][106][107][108][109][110][111][112][113] Patients presenting with migraine related to disease of the eye are typically younger, often women, some with no identifiable vascular risk factors, and others with optic disk drusen. [114][115][116] Optic disk drusen can occur with vascular complications involving the eye. 3,[114][115][116] Treatment with ergot derivatives has been associated with ischemic optic neuropathy 117,118 and papillitis, 119 possibly arising from ergotamine-induced vasospasm.…”

Section: Retinal Migrainementioning

confidence: 99%

Aura and Other Neurologic Dysfunction in or with Migraine

Kissoon

Cutrer

2017

Headache

View full text Add to dashboard Cite

show abstract

“…16C). 27 Retinal detachment tamponade is a procedure in which the posterior segment is filled with silicone oil or gaseous compounds (eg, air or sulfur hexaflouride) in order to appose the detached ocular wall layers. On MDCT, silicone oil is hyperattenuating, and the gaseous compounds have air attenuation.…”

Section: Orbital Foreign Bodymentioning

confidence: 99%