I have Optic nerve drusen

 

 

Submitted by Kirsty1293 on Thu, 05/23/2019 - 18:33
Country
United Kingdom
Age
25
Gender
Female
Did you perform any surgery for the eyes?
No
Do you suffer from pre-existing illnesses in the eye?
No
Do you suffer from any diseases in the body?
No
Do you use any eye drops?
No
Do you wear Contact lenses or Eyeglasses?

I wear glasses for everything. 

Question

 

 

Hi,

I went to my optician back in January and was referred with blurred optic nasal disc margins in the LEFT eye only, right eye was perfect in all aspects. 

I had a OCT Scan and B scan and they said it was buried optic nerve drusen. I have recently started to worry as i have been getting on and off headaches. 

I have no blurred or double vision, i do get eye floaters and occasionally when i look around i get flickering in peripheral areas which lasts for a second or two. 

I wear glasses all of the time and rely on them for most things and have done for the past 10 years. 

Could this be swelling from my brain or would that be bilateral? 

And why if it is optic drusen only being discovered now when i have had eye checks in the past.

Thanks

 

Answer

Thanks for your Question

 

 

The differential diagnosis of optic disc swelling are optic disc drusens and brain lesions. Optic disc swelling from brain lesions are most likely to be in both eyes not one eye and it is associated with other systemic problems. 

Optic disc drusens can be either buried or on the surface of the optic disc. Clinically, it is hard to see the buried drusens and sometimes your doctor can miss it easily, so B-scan, OCT and sometimes CT scan are required to differentiate it from other causes such as swelling from brain lesions.

They appear as calcified plate at the optic disc whereas that from brain lesion doesn't have this finding.

Optic disc drusens has no treatment and rarely it has any effect on visual function.

 

 

Optic disc drusens in normal fundus examination and B scan. It appears as calcified plate in B-Scan

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