| 시신경유두 주변 망막하출혈이 동반된 시신경유두 드루젠의 임상 양상과 경과 |
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권정민, 정재호 |
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부산대학교 의학전문대학원 양산부산대학교병원 안과학교실 |
| Clinical Manifestations and Courses of Optic Disc Drusen Complicated by Peripapillary Subretinal Hemorrhage |
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Jeong Min Kwon, Jae Ho Jung |
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Department of Ophthalmology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea |
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Received: 26 February 2018 • Revised: 26 April 2018 • Accepted: 11 May 2018 |
| Abstract |
Purpose: To describe clinical manifestation of 5 subjects with diagnosing as optic disc drusen complicated by peripapillary subretinal hemorrhage.
Case summary: All 5 cases were teenagers (mean; 15.2 years old, 12-19 years old) with sudden onset peripheral visual field blurring. All patients had mild to moderate myopia (-3.38 ± 1.32, -5~-1.75 diopter) and no other history such as ocular trauma and ocular surgery. None of all patients had significant decrease in visual acuity, relative afferent pupillary defect and color vision abnormality. In the fundus examination showed swollen optic disc with hemorrhage and peripapillary subretinal hemorrhage. The subretinal hemorrhages was located in optic disc nasal or superonasal area, and optical coherence tomography revealed that subretinal hemorrhages touched with optic disc drusen. 2 patients combined with breakthrough vitreous hemorrhage from subretinal hemorrhage. Optic disc of the other eye had small diameters and buried pattern drusen. In all cases, hemorrhage was spontaneously absorbed without any complication after 1-2 months later, and maintained normal visual function.
Conclusions: Fundus examination and optical coherence tomography were helpful in the diagnosis of optic disc drusen complicated by peripapillary subretinal hemorrhage. Subretinal, retinal, and optic disc hemorrhage associated with optic disc drusen were absorbed spontaneously without complications. |
| Key Words:
Optic Disc Drusen; Optic Disc Hemorrhage; Subretinal Hemorrhage |
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