Kaya Pınar, Özdemir Yalçınsoy Kübra, Özdamar Erol Yasemin
Department of Ophthalmology, University of Health Sciences, Ulucanlar Eye Training and Research Hospital, Ankara, Turkey.
Ocul Immunol Inflamm. 2023 Oct;31(8):1700-1706. doi: 10.1080/09273948.2023.2193843. Epub 2023 Apr 17.
To evaluate the coexistence of optic disc drusen (ODD) in eyes with uveitis.
In this retrospective, observational study, patients followed up in a uvea clinic with all types of uveitis were evaluated. ODD were confirmed by ocular ultrasonography, optic nerve head enhanced-depth imaging optical coherence tomography, fundus autofluorescence, and fundus photography.
ODD were detected in 17 of 545 (3.1%) uveitis patients. The mean age was 18.9 ± 10.4 years, and 76.5% were female. 45.5% were anterior, 42.4% were panuveitis, 6.1% were intermediate, and 6.1% were posterior uveitis. ODD were found bilaterally in all 17 patients; uveitis was unilateral in one patient. 58.8% were under the age of 18, and in this group, the rate of buried ODD was 78.9% ( = 0.039). In adults (seven patients), ODD were buried in 42.9%.
ODD can be detected in eyes with uveitis and may clinically mimic optic disc edema, lead to misdiagnosis and/or overtreatment.
评估葡萄膜炎患者中视盘小疣（ODD）的共存情况。
在这项回顾性观察研究中，对在葡萄膜炎诊所随访的所有类型葡萄膜炎患者进行了评估。通过眼部超声检查、视神经乳头增强深度成像光学相干断层扫描、眼底自发荧光和眼底摄影确诊ODD。
545例葡萄膜炎患者中有17例（3.1%）检测到ODD。平均年龄为18.9±10.4岁，76.5%为女性。45.5%为前葡萄膜炎，42.4%为全葡萄膜炎，6.1%为中间葡萄膜炎，6.1%为后葡萄膜炎。17例患者均双侧发现ODD；1例患者葡萄膜炎为单侧。58.8%患者年龄在18岁以下，该组中埋藏性ODD的发生率为78.9%（P = 0.039）。在成年人（7例患者）中，ODD埋藏的比例为42.9%。
葡萄膜炎患者眼中可检测到ODD，其在临床上可能类似视盘水肿，导致误诊和/或过度治疗。
