[Optic disc drusen in children: Advantages of various imaging modalities]

J Fr Ophtalmol. 2016 Apr;39(4):341-5. doi: 10.1016/j.jfo.2016.02.001. Epub 2016 Mar 31.
[Article in French]

Abstract

In children, optic disc drusen pose a diagnostic problem with papilledema when they are buried. The goal of our study is to retrospectively compare the results of examinations performed in 34 children with optic disc drusen. In children who underwent ultrasonography and autofluorescence imaging, the results were conclusive in both examinations in 44.7% of cases, and in neither of the two examinations in 27.6% of cases. Ultrasonography alone demonstrated superiority in diagnosing 27.6% of eyes, whereas autofluorescence imaging was inconclusive. Since diagnostic confusion with papilledema persisted in seven children, angiography was performed. B-mode ultrasonography constitutes a relevant examination in the diagnosis of buried optic disc drusen in children and shows superiority in our study compared to autofluorescence imaging.

Keywords: Angiographie; Angiography; Autofluorescence; Children; Drusen; Enfant; Fond d’œil; Fundus exam; Optic disc; Papille; Ultrasonography; Échographie.

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Diagnosis, Differential
  • Eye / diagnostic imaging
  • Female
  • Fluorescein Angiography
  • Humans
  • Infant
  • Male
  • Multimodal Imaging / methods*
  • Optic Disk Drusen / diagnosis*
  • Optic Disk Drusen / diagnostic imaging
  • Optic Nerve / diagnostic imaging
  • Optical Imaging / methods
  • Papilledema / diagnosis
  • Papilledema / diagnostic imaging
  • Retrospective Studies