Abstract
Following reports by Sanders et al. and Wise et al. of optic disc drusen associated with retinal bleeding, an additional 19 cases were studied and followed up for 1 to 10 years (average 5 years). Four of them showed haemorrhages at the optic disc and its borders only, but 15 showed extensive retinopathy with macular involvement. In 3 cases retinopathy was serous and not haemorrhagic. Apart from cases in which bleeding was limited to the disc and its immediate vicinity the main clinical features of the syndrome were as follows: (1) the presence of optic disc drusen; (2) extensive retinal haemorrhage; (3) intraretinal extravasation of serum with or without the presence of blood; (4) elevated mounds lifting the retina and causing striae radiating from the mounds towards the macula and beyond; (5) pigmentary disturbance of the macula or a wider area of papillo-macular bundle after the resolution of acute stages which, while often clinically severe, is compatible with recovery of normal or near normal vision. It is proposed that the syndrome be designated the 'optic disc drusen retinopathy.'
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Brodrick J. D. Drusen of the disc and retinal haemorrhages. Br J Ophthalmol. 1973 May;57(5):299–306. doi: 10.1136/bjo.57.5.299. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Otradovec J., Vladyková J. Zur Frage der Blutungen und der venösen Stauung bei der Drusenpapille. Ophthalmologica. 1970;161(1):21–30. doi: 10.1159/000306088. [DOI] [PubMed] [Google Scholar]
- Rubinstein K., Ali M. Complications of optic disc pits. Trans Ophthalmol Soc U K. 1978;98(2):195–200. [PubMed] [Google Scholar]
- Sanders T. E., Gay A. J., Newman M. Drüsen of the optic disk-hemorrhagic complications. Trans Am Ophthalmol Soc. 1970;68:186–218. [PMC free article] [PubMed] [Google Scholar]
- Sanders T. E., Gay A. J., Newman M. Hemorrhagic complications of drusen of the optic disk. Am J Ophthalmol. 1971 Jan;71(1 Pt 2):204–217. doi: 10.1016/0002-9394(71)90391-6. [DOI] [PubMed] [Google Scholar]
- Spencer W. H. XXXIV Edward Jackson Memorial Lecture: drusen of the optic disc and aberrant axoplasmic transport. Ophthalmology. 1978 Jan;85(1):21–38. doi: 10.1016/s0161-6420(78)35696-7. [DOI] [PubMed] [Google Scholar]