Ischemic Central Retinal Vein Occlusion and Neovascular Glaucoma as a Result of Optic Nerve Head Drusen

Honkanen, Robert; Baba, Fadi El; Sibony, Patrick A.; Prabhu, Sujata P

doi:10.1097/icb.0b013e3181c33375

Cited by 7 publications

(5 citation statements)

References 1 publication

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“…30; 47; 58; 61; 68; 78; 108 These retinal vascular occlusions occur at a younger age than is typical for these disorders in patients without optic disc drusen; the youngest reported patient developed a branch retinal artery occlusion at the age of 11 years. 61 In most cases, patients with optic disc drusen who developed a retinal vascular occlusion at a young age also had another systemic risk factor, such as migraine, contraceptive use, systemic hypertension, atrioseptal defect, or travel to altitude.…”

Section: Complicationsmentioning

confidence: 99%

Optic disk drusen in children

Chang

Pineles

2016

Survey of Ophthalmology

112

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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.

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Section: Complicationsmentioning

confidence: 99%

Optic disk drusen in children

Chang

Pineles

2016

Survey of Ophthalmology

112

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“…Elevation of central retinal venous pressure may result in CRVO 1 2 6. The enlargement is observed mostly in teenage7 8 but to the best of our knowledge only a single case has been reported with concomitant CRVO in teenage 9. Unlike the hitherto reported case which resulted in neovascular glaucoma and retinal detachment, we achieved favourable outcome with intravitreal bevacizumab injection in the early treatment period.…”

Section: Descriptionmentioning

confidence: 55%

Optic disc drusen precipitating central retinal vein occlusion in young

Padhy

Behera

2019

BMJ Case Rep

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“…[ 5 8 ] Although not an unprecedented etiology, ONH drusen is a rare precipitating factor. [ 2 3 9 ] The absence of conventional risk factors after an exhaustive systemic workup should prompt investigation along the lines of ONH drusen.…”

Section: Discussionmentioning

confidence: 99%

Unilateral buried optic nerve head drusen triggering central retinal vein occlusion in young – Discovering an eclipsed entity

et al. 2023

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Optic nerve head (ONH) drusen are acellular calcified concretions. Buried drusen manifests as pseudopapilledema. The compressive effects of ONH drusen can rarely precipitate central retinal vein occlusion (CRVO). The superimposition of pseudopapilledema on disc edema in CRVO poses a diagnostic dilemma. A 40-year-old female without systemic comorbidities presented with resolving CRVO. An exhaustive systemic workup revealed no abnormalities. Ultrasonography demonstrated buried ONH drusen. This unusual etiology must be considered in a young patient in the absence of systemic risk factors, persistence of “nasally conspicuous” disc elevation, and presence of peripapillary hemorrhages. Ultrasonography must be incorporated in the diagnostic armamentarium in a young patient with CRVO.

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Ischemic Central Retinal Vein Occlusion and Neovascular Glaucoma as a Result of Optic Nerve Head Drusen

Cited by 7 publications

References 1 publication

Optic disk drusen in children

Optic disk drusen in children

Optic disc drusen precipitating central retinal vein occlusion in young

Unilateral buried optic nerve head drusen triggering central retinal vein occlusion in young – Discovering an eclipsed entity

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