A Case of Optic Disc Hemorrhage Associated with Buried Optic Nerve Head Drusen.

Choi, Woo Gon; Jang, Ji Hye

doi:2014.55.7.1099

J Korean Ophthalmol Soc > Volume 55(7); 2014 > Article

Case Report

Journal of the Korean Ophthalmological Society 2014;55(7):1099-1105.
DOI: https://doi.org/10.3341/jkos.2014.55.7.1099 Published online July 15, 2014.

A Case of Optic Disc Hemorrhage Associated with Buried Optic Nerve Head Drusen.

Woo Gon Choi, Ji Hye Jang

Department of Ophthalmology, Daegu Fatima Hospital, Daegu, Korea. mjmom99@naver.com

묻힌 시신경 유두 드루젠에서 동반된 시신경 유두 출혈 1예

최우곤⋅장지혜

Department of Ophthalmology, Daegu Fatima Hospital, Daegu, Korea

Abstract

PURPOSE
We report a case of optic disc hemorrhage associated with buried optic nerve head drusen in a pediatric patient. CASE SUMMARY: A 10-year-old female visited our clinic with a floating sensation in her left eye, 2 days in duration. Best corrected visual acuity was 1.0 in both eyes. Intraocular pressure, light reflex, relative afferent pupillary defect and color vision were normal. The patient showed a small optic disc with blurred, irregular margins in both eyes, and optic disc hemorrhage in the left eye on fundus examination. Visual field examination revealed an enlarged blind spot in the left eye. To achieve correct diagnosis, brain MRI was performed and revealed normal findings. On spectral-domain optical coherence tomography (OCT), hyper-reflective and heterogeneous mass like lesions were found with buried optic nerve head drusen. CONCLUSIONS: In general, optic nerve head drusen, has a good prognosis; however, visual field defects or hemorrhagic complications can occur, therefore, correct diagnosis and regular follow-up are necessary.

Key Words: Buried optic nerve drusen;Optic disc hemorrhage;Pediatrics