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ISSN 1561-3070 (Electronic)

2020, Number 2

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Rev Cub Oftal 2020; 33 (2)

Deep subretinal peripapillary bleeding as a complication associated to optic nerve drusen

González GJC, Molina CC, Hernández EO, Enriquez GA

Language: Spanish
References: 15
Page: 1-11
PDF size: 522.64 Kb.


ABSTRACT

Optic nerve drusens were first described by Liebreich in the year 1868. Other terms to designate this condition are optic disc hyaline bodies and colloid bodies. They have a prevalence of 1 per 500 and 60% of the cases occur deep in the optic nerve head. The primary pathogenesis of drusens may be an inherited dysplasia of the optic canal of the disc and its vasculature, which leads to their formation. The natural evolution of drusens is a lifelong dynamic process. Associated complications include visual field defects, central vision loss (rare but well documented), ischemic optic neuropathy, retinal vascular occlusion, transient sight loss, peripapillary subretinal neovascularization, central serous peripapillary chorioretinopathy, and pre- and peripapillary bleeding. A case is reported of a 64-year-old female patient with a history of surgery for retinal detachment of the left eye. In the right eye the patient presented deep peripapillary subretinal bleeding associated to drusen.


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