To the Editor.
—In the June issue of the Archives, Miller1 presented photographic documentation of the appearance of optic disc drusen in a patient who initially had anomalously elevated discs without visible drusen. Such a patient has previously been presented with photographs by Huber in Fig 2-38 of the third edition of his book Eye Signs and Symptoms in Brain Tumors.2 Dr Huber has graciously allowed me to present those photographs in other publications.3 While I am not certain that this is the only other photographically documented and published case, it does precede Miller's note by a decade. Additionally, for most ophthalmologists, ultrasonography is probably a more accessible means of documenting suspected buried drusen. It is certainly less expensive and without the radiation exposure attendant on computed tomographic scanning. Moreover, although I have not made a comparative study, it is my impression that drusen can often be
Newman NM. Visible Drusen in Optic Discs. Arch Ophthalmol. 1986;104(11):1587. doi:10.1001/archopht.1986.01050230025016