Kinori Michael, Moroz Iris, Zolf Ricky, Fabian Ido Didi
Goldschleger Eye Institute, Sheba Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Israel.
Harefuah. 2013 Mar;152(3):154-7, 183, 182.
Optic disc drusen (ODD) are benign calcified deposits, which are located at the head of the optic disc. Most ODD patients are asymptomatic. Ocular complications, related to ODD, are considered rare. Optic disc drusen, especially if it is bilateral, may mimic the clinical presentation of papilledema. The clinical discrimination between ODD and papilledema may be a challenging task, and in many cases, especially in the pediatric population, an ocular ultrasound examination is needed. A fundus examination, in order to rule out papilledema, is a common daily task for the ophthalmologist and is considered perhaps the most common interface between pediatricians, neurologists, internal physicians and ophthalmologists. In this review, we focused on the pathogenesis, epidemiology, diagnosis and clinical implications of ODD.
视盘玻璃疣(ODD)是位于视盘头部的良性钙化沉积物。大多数视盘玻璃疣患者无症状。与视盘玻璃疣相关的眼部并发症被认为较为罕见。视盘玻璃疣,尤其是双侧的,可能会模仿视乳头水肿的临床表现。视盘玻璃疣与视乳头水肿之间的临床鉴别可能是一项具有挑战性的任务,在许多情况下,尤其是在儿科人群中,需要进行眼部超声检查。眼底检查以排除视乳头水肿,是眼科医生日常的常见工作,并且可能是儿科医生、神经科医生、内科医生和眼科医生之间最常见的交集。在本综述中,我们重点关注视盘玻璃疣的发病机制、流行病学、诊断及临床意义。