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January 1980


Arch Ophthalmol. 1980;98(1):187-188. doi:10.1001/archopht.1980.01020030189029

In Reply.  —Dr Erkkilä's comments highlight the ongoing clinical and pathological controversy of what are optic disc drusen and what do they mean. In our recently analyzed series of 142 cases of pseudopapilledema,1.2 there was no evidence to suggest that disc drusen (or pseudopapilledema without visible drusen) is a condition associated with any neurological state at a statistically significant level. As noted by Lorentzen,3 patients are often inappropriately admitted to neurosurgical services when the disc condition is misdiagnosed as papilledema, or neuro-ophthalmological consultation is requested for patients already in neurology and neurosurgical units while being evaluated for presumably unrelated problems (ie, headaches, hysteria, facial pain, dizziness, epilepsy). Webb and McCrary' reviewed 55 cases of hyaline bodies of the optic disc and found that 21 patients suffered from migraine. Of course, had these patients not been suffering from recurrent headaches, the ocular fundi would never have been examined. So,

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