Abstract • The simultaneous occurrence of both optic nerve head drusen and glaucoma may make it difficult to evaluate visual field defects and the appearance of the optic nerve head. We saw five patients with both conditions, of whom four had pigmentary glaucoma or pigmentary dispersion syndrome. Drusen do not preclude the development of cupping, and they make it difficult to interpret its significance. Management of these patients requires serial visual field testing, serial disc photographs, and treatment aimed at keeping the intraocular pressures as low as possible. References 1. Savino PJ, Glaser JS, Rosenberg MA: A clinical analysis of pseudopapilledema: II. Visual field defects . Arch Ophthalmol 1979;97:71-75.Crossref 2. Rucker CW: Defects in visual fields produced by hyaline bodies in optic disks . Arch Ophthalmol 1944;32:56-59.Crossref 3. Reese AB: Relation of drusen of the optic nerve to tuberous sclerosis . Arch Ophthalmol 1940;24:187-205.Crossref 4. Lorentzen SE: Drusen of the optic disc: A clinical and genetic study . Acta Ophthalmol 1967, (suppl 90) , pp 1-180. 5. Samuels B: Drusen of the optic papilla: A clinical and pathologic study . Arch Ophthalmol 1941;25:412-423.Crossref 6. Seitz R, Kersting G: Die Drusen der Sehnervenpapille und des Pigmentepithels . Klin Monatsbl Augenheilkd 1962;140:75-88. 7. Miller NR: Walsh and Hoyt's Clinical Neuro-ophthalmology . Baltimore, Williams & Wilkins Co, 1982. 8. Sugar HS: Pigmentary glaucoma: A 25-year review . Am J Ophthalmol 1966;62:499-507. 9. Boyce SW, Platia EV, Green WR: Drusen of the optic nerve head . Ann Ophthalmol 1978;10:695-704. 10. Ramirez H, Blatt ES, Hibri NS: Computed tomographic identification of calcified optic nerve drusen . Radiology 1983;148:137-139.Crossref
Archives of Ophthalmology – American Medical Association
Published: Nov 1, 1985
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