Choroidal Neovascular Membrane Associated With Optic Nerve Head Drusen in a Child

To illustrate the diagnosis, evaluation, and complications of pseudopapilledema in children. We examined a 9-year-old boy who had suspected papilledema and a retinal mass. He had undergone neuroradiologic imaging at an outside facility. Clinical examination of the patient provided the diagnosis of o...

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Bibliographic Details
Published in:American journal of ophthalmology 1996-02, Vol.121 (2), p.215-217
Main Authors: Brown, Sandra M., Del Monte, Monte A.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Calcinosis - diagnosis
Child
Choroid - blood supply
Diseases of visual field, optic nerve, optic chiasma and optic tracts
Fluorescein Angiography
Fundus Oculi
Humans
Male
Medical sciences
Membranes
Neovascularization, Pathologic - etiology
Ophthalmology
Optic Disk Drusen - complications
Optic Nerve Diseases - diagnosis
Papilledema - etiology
Tomography, X-Ray Computed
Vision Disorders - etiology
Visual Acuity
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Summary:To illustrate the diagnosis, evaluation, and complications of pseudopapilledema in children. We examined a 9-year-old boy who had suspected papilledema and a retinal mass. He had undergone neuroradiologic imaging at an outside facility. Clinical examination of the patient provided the diagnosis of optic nerve head drusen, pseudopapilledema, and a cicatrized choroidal neovascular membrane. Examination of the boy's parents disclosed optic nerve head drusen in the father. Choroidal neovascular membranes caused by optic nerve head drusen are uncommon in children. Clinical examination of the patient and family members, along with B-scan ultrasonography, can establish this cause. Neuroradiologic testing is unnecessary, and carries risk related to the need for sedation.
ISSN:0002-9394
1879-1891
DOI:10.1016/S0002-9394(14)70591-4