[Skip to Content]
[Skip to Content Landing]
Article
August 1985

Decreased Visual Acuity From Optic Disc Drusen

Author Affiliations

From the Departments of Ophthalmology, Neurology, and Neurosurgery, University of Michigan School of Medicine, Ann Arbor (Dr Beck); the Departments of Ophthalmology and Neurology, University of Iowa School of Medicine, Iowa City (Drs Corbett and Thompson); and the Neuro-ophthalmology Unit, Wills Eye Hospital, Philadelphia (Dr Sergott).

Arch Ophthalmol. 1985;103(8):1155-1159. doi:10.1001/archopht.1985.01050080067022
Abstract

• Although visual field defects occur commonly from optic disc drusen, reduction in visual acuity is rare. We describe four patients with reduced visual acuity and one with visual field constriction to the point of legal blindness that resulted from optic disc drusen. The acute episodic and stepwise nature of visual loss in some of the cases in our series suggests a vascular mechanism. Reduced visual acuity from drusen remains a diagnosis of exclusion. It should be considered, however, when visual loss has been acute and nonprogressive or stepwise in a nerve fiber bundle distribution and when visual acuity is not reduced until visual field constriction is severe.

References
1.
Lorentzen SE:  Drusen of the optic disk . Acta Ophthalmol , 1966, (suppl 90) , pp 9-180.
2.
Friedman AH, Henkind P, Gartner S:  Drusen of the optic disc: A histopathologic study . Trans Ophthalmol Soc UK 1975;95:4-9.
3.
Rosenberg MA, Savino PJ, Glaser JS:  A clinical analysis of pseudopapilledema: I. Population, laterality, acuity, refractive error, ophthalmoscopic characteristics, and coincident disease . Arch Ophthalmol 1979;97:65-70.Article
4.
Savino PJ, Glaser JS, Rosenberg MA:  A clinical analysis of pseudopapilledema: II. Visual field defects . Arch Ophthalmol 1979;97:71-75.Article
5.
Mustonen E:  Pseudopapilloedema with and without verified optic disc drusen: A clinical analysis: II. Visual fields . Acta Ophthalmol 1983;61:1057-1066.Article
6.
Lansche RK, Rucker CW:  Progression of defects in visual fields produced by hyaline bodies in optic discs . Arch Ophthalmol 1957;58:115-121.Article
7.
Sanders TE, Gay AJ, Newman M:  Hemorrhagic complications of drusen of the optic disk . Am J Ophthalmol 1971;71:204-217.
8.
Hitchings RA, Corbett JJ, Winkelman J, et al:  Hemorrhages with optic nerve drusen . Arch Neurol 1976;33:675-677.Article
9.
Wise GN, Henkind P, Alterman M:  Optic disc drusen and subretinal hemorrhage . Am Acad Ophthalmol Otolaryngol 1974;78:212-219.
10.
Harris MJ, Fine SL, Owens SL:  Hemorrhagic complications of optic nerve drusen . Am J Ophthalmol 1981;92:70-76.
11.
Mustonen E:  Pseudopapilloedema with and without verified optic disc drusen: A clinical analysis: I . Acta Ophthalmol 1983;61:1037-1056.Article
12.
Knight CL, Hoyt WF:  Monocular blindness from drusen of the optic disk . Am J Ophthalmol 1972;73:890-892.
13.
Frisen L, Scholdstrom G, Svendsen P:  Drusen in the optic nerve head . Arch Ophthalmol 1978;96:1611-1614.Article
14.
Kamin DF, Hepler RS, Foos RY:  Optic nerve drusen . Arch Ophthalmol 1973;89:359-362.Article
15.
Chambers JW, Walsh FB:  Hyaline bodies in the optic discs: Report of ten cases exemplifying importance in neurologic diagnosis . Brain 1951;74:95-108.Article
16.
Spencer WH:  Drusen of the optic disk and aberrant axoplasmic transport . Am J Ophthalmol 1978;85:1-12.
17.
Tso MOM:  Pathology and pathogenesis of drusen of the optic nervehead . Ophthalmology 1981;88:1066-1080.Article
18.
Gittinger JW, Lessell S, Bondar RL:  Ischemic optic neuropathy associated with optic disc drusen . J Clin Neuro Ophthalmol 1984;4:79-84.
19.
Karel I, Otradovec J, Peleska M:  Fluorescence angiography in circulatory disturbances in drusen of the optic disk . Ophthalmologica 1972; 164:449-462.Article
20.
Cohen DN:  Drusen of the optic disc and the development of field defects . Arch Ophthalmol 1971;85:224-226.Article
21.
Hoyt WF, Beeston D: The Ocular Fundus in Neurologic Disease . St Louis, CV Mosby Co, 1966, p 34.
22.
Beck RW, Savino PJ, Repka MX, et al:  Optic disc structure in anterior ischemic optic neuropathy . Ophthalmology 1984;91:1334-1337.Article
23.
Feit RH, Tomsak RL, Ellenberger C:  Structural factors in the pathogenesis of ischemic optic neuropathy . Am J Ophthalmol 1984;98:105-108.Article
24.
Purcell JJ, Goldberg RE:  Hyaline bodies of the optic papilla and bilateral acute vascular occlusions . Ann Ophthalmol 1974;6:1069-1076.
×