Figure 5.

Enhanced-depth imaging optical coherence tomography imaging shows peripapillary hyper-reflective ovoid mass-like structures (PHOMS) in a 23-year-old woman with idiopathic intracranial hypertension (upper panel), and in a 13-year-old boy with optic disc drusen (lower panel). The two main characteristics of the PHOMS are: the upward deflection of retinal layers on top of the drusen creating the ‘ski slope sign’ (arrowheads), and the visible hyper-reflective Bruch’s membrane (longer white arrows) underneath the PHOMS. The PHOMS (encircled in white) are annotated to the right