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Complete Circumvention of Central Retinal Artery and Venous Cilioretinal Shunts in Optic Disc Drusen

Complete Circumvention of Central Retinal Artery and Venous Cilioretinal Shunts in Optic Disc Drusen Abstract Optic disc drusen may be accompanied by an unusual branching of vessels on the optic disc and in the adjacent retina. The early influence of congenital drusen on the developing vascular system during the embryonic phase seems to be responsible for this.1 We describe a patient with bilateral optic disc drusen who had 2 anastomoses between cilio-retinal and retinal arteries, venovenous communications, and a macular aneurysm in her right eye. Report of a Case. A 16-year-old girl with known drusen of both papillae had an esotropia of the left eye since the age of 4 years, which changed into an esotropia of the right eye 2 years ago. The reason was a deterioration of visual acuity to 1/7.5 OD owing to a largely thrombosed retinal aneurysm with macular edema (Figure 1). Five years ago visual acuity had been 20/25 OU. On funduscopy and angiography using a scanning laser ophthalmoscope, References 1. Erkkilaä H. The central vascular pattern of the eyeground in children with drusen of the optic disk . Graefes Arch Clin Exp Ophthalmol . 1976;199:1-10.Crossref 2. Karel I, Otradovec J, Peleska M. Fluorescence angiography in circulatory disturbances in drusen of the optic disc . Ophthalmologica . 1972;164:449-462.Crossref 3. Duke-Elder S, Dobree JH. Diseases of the retina . In: Duke-Elder S, ed. System of Ophthalmology . London, England: Henry Kimpton; 1967:155-156. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Complete Circumvention of Central Retinal Artery and Venous Cilioretinal Shunts in Optic Disc Drusen

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References (4)

Publisher
American Medical Association
Copyright
Copyright © 1996 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1996.01100140485029
Publisher site
See Article on Publisher Site

Abstract

Abstract Optic disc drusen may be accompanied by an unusual branching of vessels on the optic disc and in the adjacent retina. The early influence of congenital drusen on the developing vascular system during the embryonic phase seems to be responsible for this.1 We describe a patient with bilateral optic disc drusen who had 2 anastomoses between cilio-retinal and retinal arteries, venovenous communications, and a macular aneurysm in her right eye. Report of a Case. A 16-year-old girl with known drusen of both papillae had an esotropia of the left eye since the age of 4 years, which changed into an esotropia of the right eye 2 years ago. The reason was a deterioration of visual acuity to 1/7.5 OD owing to a largely thrombosed retinal aneurysm with macular edema (Figure 1). Five years ago visual acuity had been 20/25 OU. On funduscopy and angiography using a scanning laser ophthalmoscope, References 1. Erkkilaä H. The central vascular pattern of the eyeground in children with drusen of the optic disk . Graefes Arch Clin Exp Ophthalmol . 1976;199:1-10.Crossref 2. Karel I, Otradovec J, Peleska M. Fluorescence angiography in circulatory disturbances in drusen of the optic disc . Ophthalmologica . 1972;164:449-462.Crossref 3. Duke-Elder S, Dobree JH. Diseases of the retina . In: Duke-Elder S, ed. System of Ophthalmology . London, England: Henry Kimpton; 1967:155-156.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Oct 1, 1996

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