Unsuccessful surgical excision of optic nerve drusen

BACKGROUND: To report the case of failed surgical excision of optic nerve drusen (OND). METHODS: Case report. A 53-year-old woman presented with bilateral OND leading to progressive field defects and LE light perception and RE 20/25 vision. A vitrectomy was performed on the legally-blind left eye to...

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Detalles Bibliográficos
Autores principales: Pfriem, Magdalena, Hoerauf, Hans
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer-Verlag 2011
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3178019/
https://www.ncbi.nlm.nih.gov/pubmed/21638031
http://dx.doi.org/10.1007/s00417-011-1693-x
Descripción
Sumario:BACKGROUND: To report the case of failed surgical excision of optic nerve drusen (OND). METHODS: Case report. A 53-year-old woman presented with bilateral OND leading to progressive field defects and LE light perception and RE 20/25 vision. A vitrectomy was performed on the legally-blind left eye to test the resectability of OND. RESULTS: The removal of superficial OND failed because the singular-appearing superficial OND presented as one large mass with multiple excrescences on its surface. Retinal vessels passed through it, which made an excision impossible. CONCLUSION: OND cannot always be removed surgically, due to their variable consistency and hardness.

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