Important functional distress in a teenager with optic nerve drusen

Abstract

We present a case of bilateral optic disc drusen and severe visual field loss in a female patient diagnosed at a very young age.

Keywords: optic nerve drusen; optic nerve pathology; perimetry; pseudopapilledema; visual field defects.

Fig. 1

Fundus photography of the right eye

Fig. 2

Fundus photography of the left eye

Fig. 3

Ultrasonography right eye

Fig. 4

Ultrasonography left eye

Fig. 5

Optical coherence tomography of the optic nerve in both eyes

Fig. 6

Optical coherence tomography 3D Visualization of the Optic Disc Cube of the right eye

Fig. 7

Optical coherence tomography 3D Visualization of the Optic Disc Cube of the left eye

Fig. 8

Optical coherence tomography macular thickness analysis for the right and left eye

Fig. 9

Optical coherence tomography ganglion cell layer analysis

Fig. 10

Humphrey visual field of the right eye at presentation showing a superior nasal altitudinal scotoma

Fig. 11

Humphrey visual field of the left eye at presentation showing an important constriction of the visual field, with the preservation of an island of central vision

Fig. 12

Humphrey visual field of the right eye at follow-up one year later

Fig. 13

Humphrey visual field of the left eye at follow up one year later