Case Report of Optic Disc Drusen with Simultaneous Peripapillary Subretinal Hemorrhage and Central Retinal Vein Occlusion
Joint Authors
Law, David Zhiwei
Yang, Francine Pei Lin
Teoh, Stephen Charn Beng
Source
Case Reports in Ophthalmological Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-12-02
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
A 52-year-old Chinese gentleman presented with right eye floaters and photopsia over one week.
His visual acuities were 20/20 bilaterally.
Posterior segment examination showed a right eye swollen optic disc and central retinal vein occlusion (CRVO) associated with an area of subretinal hemorrhage adjacent to the optic disc.
Fundus fluorescein (FA) and indocyanine green angiographies (ICGA) of the right eye did not demonstrate choroidal neovascularization (CNV), polypoidal choroidal vasculopathy (PCV), or retinal ischemia.
Ultrasound B-scan revealed optic disc drusen (ODD).
In view of good vision and absence of CNV, he was managed conservatively with spontaneous resolution after two months.
Commonly, ODD may directly compress and mechanically rupture subretinal vessels at the optic disc, resulting in peripapillary subretinal hemorrhage, as was likely the case in our patient.
Mechanical impairment of peripapillary circulation also results in retinal ischemia and may trigger the development of choroidal neovascularization (CNV) and/or polypoidal choroidal vasculopathy (PCV), leading to subretinal haemorrhage.
Compromise in central venous outflow with increased retinal central venous pressure from the direct mechanical effects of enlarging ODD results in central retinal vein occlusion (CRVO).
Patients with subretinal hemorrhage and CRVO from ODD should be monitored closely for the development of potentially sight-threatening complications.
American Psychological Association (APA)
Law, David Zhiwei& Yang, Francine Pei Lin& Teoh, Stephen Charn Beng. 2014. Case Report of Optic Disc Drusen with Simultaneous Peripapillary Subretinal Hemorrhage and Central Retinal Vein Occlusion. Case Reports in Ophthalmological Medicine،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1017404
Modern Language Association (MLA)
Law, David Zhiwei…[et al.]. Case Report of Optic Disc Drusen with Simultaneous Peripapillary Subretinal Hemorrhage and Central Retinal Vein Occlusion. Case Reports in Ophthalmological Medicine No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-1017404
American Medical Association (AMA)
Law, David Zhiwei& Yang, Francine Pei Lin& Teoh, Stephen Charn Beng. Case Report of Optic Disc Drusen with Simultaneous Peripapillary Subretinal Hemorrhage and Central Retinal Vein Occlusion. Case Reports in Ophthalmological Medicine. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1017404
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1017404