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Case Reports
. 2017 Oct;65(10):1051-1053.
doi: 10.4103/ijo.IJO_355_17.

Bilateral disc drusen in a diabetic patient simulating diabetic papillopathy as a cause of disc edema

Rohan Chawla  1 , Soman Nair  1 , Pradeep Venkatesh  1 , Satpal Garg  1 , Kanhaiya Mittal  1
Affiliations
Case Reports

Bilateral disc drusen in a diabetic patient simulating diabetic papillopathy as a cause of disc edema

Rohan Chawla et al. Indian J Ophthalmol. 2017 Oct.

Abstract

Bilateral optic disc edema in a diabetic patient may be caused by diabetic papillopathy. We herein report on a patient with bilateral optic disc drusen simulating diabetic papillopathy. A 55-year-old patient with type 2 diabetes presented with decreased vision of 1-month. Diabetic papillopathy was initially considered as there was disc edema in both eyes with focal hemorrhages at the disc margin and mild visual loss. Ultrasound of the optic nerve head revealed optic disc drusen in both eyes and this was also confirmed by the control photograph. Optic nerve head drusen should be considered in the differential diagnosis of a diabetic patient presenting with disc edema.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Fundus photograph of both the eyes (top). Control photograph on fluorescein angiography showing autofluorescence in both the optic nerve heads (bottom)
Figure 2
Figure 2
Ultrasound photograph (low gain) showing calcification at the optic nerve head
See this image and copyright information in PMC

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