Cargando…
Optic Disc Drusen (ODD), an Often Misdiagnosed Disease: A Case Report
Optic disc drusen (ODD) are abnormal collections of protein and calcium that accumulate within the optic nerve. We report a case of a 17-year-old girl who presented to the Department of Ophthalmology at the Cheikh Khalifa International University Hospital, Casablanca, Morocco, with a decline in visu...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9844931/ https://www.ncbi.nlm.nih.gov/pubmed/36660519 http://dx.doi.org/10.7759/cureus.32664 |
_version_ | 1784870771020005376 |
---|---|
author | Bouazza, Mohamed Razzak, Amine El Jai, Mehdi Youssefi, Houda |
author_facet | Bouazza, Mohamed Razzak, Amine El Jai, Mehdi Youssefi, Houda |
author_sort | Bouazza, Mohamed |
collection | PubMed |
description | Optic disc drusen (ODD) are abnormal collections of protein and calcium that accumulate within the optic nerve. We report a case of a 17-year-old girl who presented to the Department of Ophthalmology at the Cheikh Khalifa International University Hospital, Casablanca, Morocco, with a decline in visual acuity, visual field deficiency, and color vision abnormalities. The patient was misdiagnosed and mistreated for optic neuritis given the presence of bilateral Stage III papilledema solely. After many months of diagnostic wandering, a fundus examination revealed a white atrophic papilla with calcified deposits grouped in a crown around the papillary excavation, suggesting papillary drusen. When the deposits are visible on ophthalmoscopy and manifest as an elevation and a blurring of the optic disc's margins, their diagnosis remains straightforward. However, their identification might be problematic when they are firmly lodged in the optic disc or with the presence of papilledema, leading to confusion with other differential diagnoses, particularly if the condition affects both eyes. The purpose of this case report is to increase neurologists' and ophthalmologists' knowledge of the incidence of drusen in order to prevent excessive biological and imaging investigation in addition to harmful effects from needless drugs. |
format | Online Article Text |
id | pubmed-9844931 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-98449312023-01-18 Optic Disc Drusen (ODD), an Often Misdiagnosed Disease: A Case Report Bouazza, Mohamed Razzak, Amine El Jai, Mehdi Youssefi, Houda Cureus Neurology Optic disc drusen (ODD) are abnormal collections of protein and calcium that accumulate within the optic nerve. We report a case of a 17-year-old girl who presented to the Department of Ophthalmology at the Cheikh Khalifa International University Hospital, Casablanca, Morocco, with a decline in visual acuity, visual field deficiency, and color vision abnormalities. The patient was misdiagnosed and mistreated for optic neuritis given the presence of bilateral Stage III papilledema solely. After many months of diagnostic wandering, a fundus examination revealed a white atrophic papilla with calcified deposits grouped in a crown around the papillary excavation, suggesting papillary drusen. When the deposits are visible on ophthalmoscopy and manifest as an elevation and a blurring of the optic disc's margins, their diagnosis remains straightforward. However, their identification might be problematic when they are firmly lodged in the optic disc or with the presence of papilledema, leading to confusion with other differential diagnoses, particularly if the condition affects both eyes. The purpose of this case report is to increase neurologists' and ophthalmologists' knowledge of the incidence of drusen in order to prevent excessive biological and imaging investigation in addition to harmful effects from needless drugs. Cureus 2022-12-18 /pmc/articles/PMC9844931/ /pubmed/36660519 http://dx.doi.org/10.7759/cureus.32664 Text en Copyright © 2022, Bouazza et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Neurology Bouazza, Mohamed Razzak, Amine El Jai, Mehdi Youssefi, Houda Optic Disc Drusen (ODD), an Often Misdiagnosed Disease: A Case Report |
title | Optic Disc Drusen (ODD), an Often Misdiagnosed Disease: A Case Report |
title_full | Optic Disc Drusen (ODD), an Often Misdiagnosed Disease: A Case Report |
title_fullStr | Optic Disc Drusen (ODD), an Often Misdiagnosed Disease: A Case Report |
title_full_unstemmed | Optic Disc Drusen (ODD), an Often Misdiagnosed Disease: A Case Report |
title_short | Optic Disc Drusen (ODD), an Often Misdiagnosed Disease: A Case Report |
title_sort | optic disc drusen (odd), an often misdiagnosed disease: a case report |
topic | Neurology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9844931/ https://www.ncbi.nlm.nih.gov/pubmed/36660519 http://dx.doi.org/10.7759/cureus.32664 |
work_keys_str_mv | AT bouazzamohamed opticdiscdrusenoddanoftenmisdiagnoseddiseaseacasereport AT razzakamine opticdiscdrusenoddanoftenmisdiagnoseddiseaseacasereport AT eljaimehdi opticdiscdrusenoddanoftenmisdiagnoseddiseaseacasereport AT youssefihouda opticdiscdrusenoddanoftenmisdiagnoseddiseaseacasereport |