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Optic Nerve Drusen Evaluation: A Comparison between Ultrasound and OCT

This observational study compared optic coherence tomography (OCT) and B-scan in the detection of optic disc drusen. In total, 86 eyes of 50 patients with optic disc drusen (ODD) (36 bilateral) with a mean age of 34.68 ± 23.81 years, and 54 eyes of 27 patients with papilledema, with a mean age of 35...

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Autores principales: Rosa, Nicola, De Bernardo, Maddalena, Abbinante, Giulia, Vecchio, Gianluca, Cione, Ferdinando, Capasso, Luigi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9267746/
https://www.ncbi.nlm.nih.gov/pubmed/35806999
http://dx.doi.org/10.3390/jcm11133715
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author Rosa, Nicola
De Bernardo, Maddalena
Abbinante, Giulia
Vecchio, Gianluca
Cione, Ferdinando
Capasso, Luigi
author_facet Rosa, Nicola
De Bernardo, Maddalena
Abbinante, Giulia
Vecchio, Gianluca
Cione, Ferdinando
Capasso, Luigi
author_sort Rosa, Nicola
collection PubMed
description This observational study compared optic coherence tomography (OCT) and B-scan in the detection of optic disc drusen. In total, 86 eyes of 50 patients with optic disc drusen (ODD) (36 bilateral) with a mean age of 34.68 ± 23.81 years, and 54 eyes of 27 patients with papilledema, with a mean age of 35.42 years ± 17.47, were examined. Patients with ODD, diagnosed with ultrasound, underwent spectral-domain OCT evaluation. With US, 28 ODD cases were classified as large (4 buried and 24 superficial), 58 were classified as point-like (6 buried, 49 superficial and 3 mixed). Then, all patients underwent OCT. OCT was able to detect the presence of ODD and/or peripapillary hyperreflective ovoid mass structure (PHOMS) in 69 eyes (p < 0.001). In particular, 7 eyes (8.14%) showed the presence of ODD alone, 25 eyes (29.07%) showed only PHOMS and 37 eyes (43.02%) showed ODD and PHOMS. In 17 eyes (19.77%) no ODD or PHOMS were detected. In the papilledema group, no ODD were observed with both US and OCT. OCT showed the presence of drusen or similar lesions in only 80.23% of the cases highlighted by the US scan, so it does not allow for certain ODD diagnoses, especially in the case of buried ODD.
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spelling pubmed-92677462022-07-09 Optic Nerve Drusen Evaluation: A Comparison between Ultrasound and OCT Rosa, Nicola De Bernardo, Maddalena Abbinante, Giulia Vecchio, Gianluca Cione, Ferdinando Capasso, Luigi J Clin Med Article This observational study compared optic coherence tomography (OCT) and B-scan in the detection of optic disc drusen. In total, 86 eyes of 50 patients with optic disc drusen (ODD) (36 bilateral) with a mean age of 34.68 ± 23.81 years, and 54 eyes of 27 patients with papilledema, with a mean age of 35.42 years ± 17.47, were examined. Patients with ODD, diagnosed with ultrasound, underwent spectral-domain OCT evaluation. With US, 28 ODD cases were classified as large (4 buried and 24 superficial), 58 were classified as point-like (6 buried, 49 superficial and 3 mixed). Then, all patients underwent OCT. OCT was able to detect the presence of ODD and/or peripapillary hyperreflective ovoid mass structure (PHOMS) in 69 eyes (p < 0.001). In particular, 7 eyes (8.14%) showed the presence of ODD alone, 25 eyes (29.07%) showed only PHOMS and 37 eyes (43.02%) showed ODD and PHOMS. In 17 eyes (19.77%) no ODD or PHOMS were detected. In the papilledema group, no ODD were observed with both US and OCT. OCT showed the presence of drusen or similar lesions in only 80.23% of the cases highlighted by the US scan, so it does not allow for certain ODD diagnoses, especially in the case of buried ODD. MDPI 2022-06-27 /pmc/articles/PMC9267746/ /pubmed/35806999 http://dx.doi.org/10.3390/jcm11133715 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Rosa, Nicola
De Bernardo, Maddalena
Abbinante, Giulia
Vecchio, Gianluca
Cione, Ferdinando
Capasso, Luigi
Optic Nerve Drusen Evaluation: A Comparison between Ultrasound and OCT
title Optic Nerve Drusen Evaluation: A Comparison between Ultrasound and OCT
title_full Optic Nerve Drusen Evaluation: A Comparison between Ultrasound and OCT
title_fullStr Optic Nerve Drusen Evaluation: A Comparison between Ultrasound and OCT
title_full_unstemmed Optic Nerve Drusen Evaluation: A Comparison between Ultrasound and OCT
title_short Optic Nerve Drusen Evaluation: A Comparison between Ultrasound and OCT
title_sort optic nerve drusen evaluation: a comparison between ultrasound and oct
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9267746/
https://www.ncbi.nlm.nih.gov/pubmed/35806999
http://dx.doi.org/10.3390/jcm11133715
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