Diagnostic Value of Systematic Imaging Examination in Embedded Optic Disc Drusen in Adolescents with Mild Visual Impairment
Aim. To evaluate the diagnostic value of systematic ophthalmologic imaging examination in the diagnosis of embedded optic disc drusen (ODD) in adolescents with mild visual impairment. Methods. Eleven patients were evaluated through optometric examination, fundus photography, visual field inspection,...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2020/6973587 |
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| author | Xiuhua Jia Tiancheng Bao Shasha Wang Ting Jiang Zhijian Zhong Yanling Zhang Qigen Li Xiang Zhu |
| author_facet | Xiuhua Jia Tiancheng Bao Shasha Wang Ting Jiang Zhijian Zhong Yanling Zhang Qigen Li Xiang Zhu |
| author_sort | Xiuhua Jia |
| collection | DOAJ |
| description | Aim. To evaluate the diagnostic value of systematic ophthalmologic imaging examination in the diagnosis of embedded optic disc drusen (ODD) in adolescents with mild visual impairment. Methods. Eleven patients were evaluated through optometric examination, fundus photography, visual field inspection, optical coherence tomography (OCT), ultrasonography (US), and fundus fluorescein angiography (FFA). Of the 11 patients, three also underwent cranial and orbital magnetic resonance imaging (MRI). Results. All 11 patients had either no apparent abnormality or only mild refractive abnormalities. In all patients, fundus inspection revealed flushing the optic disc with varying degrees of limited boundary ambiguity and optic disc congestion with disappearance of the fovea. One patient had a visual field defect during the period of edema of ODD, but the visual field returned to normal after the optic disc edema subsided. US revealed discoid acousto-optic masses in front of the optic disc in six patients. OCT showed a slight elevation and thinning of the retinal nerve fiber layer (RNFL) of the optic disc in all patients. Quasicircular, hyperreflex signals of different sizes could be observed below the RNFL. Late-stage FFA revealed focal staining at the edge of the optic disc without fluorescence leakage in all patients. Orbital and cranial MRI findings were normal in the three patients. Conclusion. A systematic ophthalmologic imaging examination can not only improve the detection rate of embedded ODD but also avoid excessive examinations and treatments. |
| format | Article |
| id | doaj-art-00aad05c0af64e3c87d85a4d7ee422ea |
| institution | DOAJ |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-00aad05c0af64e3c87d85a4d7ee422ea2025-08-20T03:22:31ZengWileyJournal of Ophthalmology2090-004X2090-00582020-01-01202010.1155/2020/69735876973587Diagnostic Value of Systematic Imaging Examination in Embedded Optic Disc Drusen in Adolescents with Mild Visual ImpairmentXiuhua Jia0Tiancheng Bao1Shasha Wang2Ting Jiang3Zhijian Zhong4Yanling Zhang5Qigen Li6Xiang Zhu7Department of Ophthalmology, Third Affiliated Hospital of Sun Yat-Sen University, 600# Tianhe Road, Guangzhou, Guangdong Province 510630, ChinaDepartment of Ophthalmology, Third Affiliated Hospital of Sun Yat-Sen University, 600# Tianhe Road, Guangzhou, Guangdong Province 510630, ChinaDepartment of Ophthalmology, Third Affiliated Hospital of Sun Yat-Sen University, 600# Tianhe Road, Guangzhou, Guangdong Province 510630, ChinaDepartment of Radiology, Third Affiliated Hospital of Sun Yat-Sen University, 600# Tianhe Road, Guangzhou, Guangdong Province 510630, ChinaDepartment of Ophthalmology, Third Affiliated Hospital of Sun Yat-Sen University, 600# Tianhe Road, Guangzhou, Guangdong Province 510630, ChinaDepartment of Ultrasonography, Third Affiliated Hospital of Sun Yat-Sen University, 600# Tianhe Road, Guangzhou, Guangdong Province 510630, ChinaDepartment of Ophthalmology, Third Affiliated Hospital of Sun Yat-Sen University, 600# Tianhe Road, Guangzhou, Guangdong Province 510630, ChinaDepartment of Infectious Diseases, Third Affiliated Hospital of Sun Yat-Sen University, 600# Tianhe Road, Guangzhou, Guangdong Province 510630, ChinaAim. To evaluate the diagnostic value of systematic ophthalmologic imaging examination in the diagnosis of embedded optic disc drusen (ODD) in adolescents with mild visual impairment. Methods. Eleven patients were evaluated through optometric examination, fundus photography, visual field inspection, optical coherence tomography (OCT), ultrasonography (US), and fundus fluorescein angiography (FFA). Of the 11 patients, three also underwent cranial and orbital magnetic resonance imaging (MRI). Results. All 11 patients had either no apparent abnormality or only mild refractive abnormalities. In all patients, fundus inspection revealed flushing the optic disc with varying degrees of limited boundary ambiguity and optic disc congestion with disappearance of the fovea. One patient had a visual field defect during the period of edema of ODD, but the visual field returned to normal after the optic disc edema subsided. US revealed discoid acousto-optic masses in front of the optic disc in six patients. OCT showed a slight elevation and thinning of the retinal nerve fiber layer (RNFL) of the optic disc in all patients. Quasicircular, hyperreflex signals of different sizes could be observed below the RNFL. Late-stage FFA revealed focal staining at the edge of the optic disc without fluorescence leakage in all patients. Orbital and cranial MRI findings were normal in the three patients. Conclusion. A systematic ophthalmologic imaging examination can not only improve the detection rate of embedded ODD but also avoid excessive examinations and treatments.http://dx.doi.org/10.1155/2020/6973587 |
| spellingShingle | Xiuhua Jia Tiancheng Bao Shasha Wang Ting Jiang Zhijian Zhong Yanling Zhang Qigen Li Xiang Zhu Diagnostic Value of Systematic Imaging Examination in Embedded Optic Disc Drusen in Adolescents with Mild Visual Impairment Journal of Ophthalmology |
| title | Diagnostic Value of Systematic Imaging Examination in Embedded Optic Disc Drusen in Adolescents with Mild Visual Impairment |
| title_full | Diagnostic Value of Systematic Imaging Examination in Embedded Optic Disc Drusen in Adolescents with Mild Visual Impairment |
| title_fullStr | Diagnostic Value of Systematic Imaging Examination in Embedded Optic Disc Drusen in Adolescents with Mild Visual Impairment |
| title_full_unstemmed | Diagnostic Value of Systematic Imaging Examination in Embedded Optic Disc Drusen in Adolescents with Mild Visual Impairment |
| title_short | Diagnostic Value of Systematic Imaging Examination in Embedded Optic Disc Drusen in Adolescents with Mild Visual Impairment |
| title_sort | diagnostic value of systematic imaging examination in embedded optic disc drusen in adolescents with mild visual impairment |
| url | http://dx.doi.org/10.1155/2020/6973587 |
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