Drusen or hyaline bodies of the optic papilla may be responsible for defects in the visual fields.1 The occurrence of drusen of the optic nerve in association with an intracranial tumor, however, is extremely rare, only one such case having been reported.2 For these reasons, the recognition of hyaline bodies in the presence of field defects has been said to obviate the need for further investigation of intracranial structures in some cases.3 The necessity for diagnostic discretion in such instances has recently been brought to our attention by a patient harboring both hyaline bodies of the optic papillae and a proved pituitary tumor. This is the second reported case to our knowledge of concomitant drusen of the optic nerve and intracranial tumor.
Report of Case
This patient was seen through the courtesy of Dr. Bernard Levy. This 28-year-old white woman was admitted to Duke Hospital Jan. 18,
STIEFEL JW, SMITH JL. Hyaline Bodies (Drusen) of the Optic Nerve and Intracranial Tumor. Arch Ophthalmol. 1961;65(6):814-816. doi:10.1001/archopht.1961.01840020816013