PMID- 20529261 OWN - NLM STAT- MEDLINE DCOM- 20100924 LR - 20240318 IS - 1471-2342 (Electronic) IS - 1471-2342 (Linking) VI - 10 DP - 2010 Jun 7 TI - In-vivo high resolution imaging of optic nerve head drusen using spectral-domain Optical Coherence Tomography. PG - 11 LID - 10.1186/1471-2342-10-11 [doi] AB - BACKGROUND: Optic nerve head drusen (ONHD) are white calcareous deposits, seen either superficially on the optic nerve head or buried within it. Diagnosis of ONHD is made by one or more ways: clinical exam, autofluorescence, ultrasound of the optic nerve, CT scan and/or visual field examination. The present study describes features of ONHD based on another diagnostic modality, the spectral-domain OCT (Spectralis). METHODS: This is a retrospective case series of 5 patients with bilateral ONHD with a best-corrected visual acuity of 20/20 and no other posterior segment pathology. All the patients underwent fundus photography, fundus autofluorescence, B-scan ultrasonography, Spectralis OCT and Humphrey 30-2 threshold visual fields. RESULTS: All 5 patients had surface ONHD which were autofluorescent and echodense on B-scan ultrasonography. Spectralis OCT findings in the corresponding areas include 'scattered spots with high reflectivity' casting a shadow underneath. The reflectivity can be distinctly differentiated from the blood vessels on the optic nerve. Two patients had an arcuate scotoma on the Humphrey visual fields. No correlation was found between the changes on Spectralis OCT with that of visual field. CONCLUSIONS: Spectralis OCT is another useful ancillary investigation in the diagnosis of ONHD and we describe the features in the present study. FAU - Murthy, Ravi K AU - Murthy RK AD - Department of Ophthalmology, College of Medicine, University of Florida, Jacksonville, Florida, USA. FAU - Storm, Laura AU - Storm L FAU - Grover, Sandeep AU - Grover S FAU - Brar, Vikram S AU - Brar VS FAU - Chalam, Kakarla V AU - Chalam KV LA - eng PT - Evaluation Study PT - Journal Article DEP - 20100607 PL - England TA - BMC Med Imaging JT - BMC medical imaging JID - 100968553 SB - IM MH - Adolescent MH - Adult MH - *Algorithms MH - Female MH - Humans MH - Image Enhancement/methods MH - Image Interpretation, Computer-Assisted/*methods MH - Information Storage and Retrieval/*methods MH - Male MH - Middle Aged MH - Optic Disk Drusen/*pathology MH - Reproducibility of Results MH - Sensitivity and Specificity MH - Tomography, Optical Coherence/*methods MH - Young Adult PMC - PMC2895575 EDAT- 2010/06/10 06:00 MHDA- 2010/09/25 06:00 PMCR- 2010/06/07 CRDT- 2010/06/10 06:00 PHST- 2010/01/08 00:00 [received] PHST- 2010/06/07 00:00 [accepted] PHST- 2010/06/10 06:00 [entrez] PHST- 2010/06/10 06:00 [pubmed] PHST- 2010/09/25 06:00 [medline] PHST- 2010/06/07 00:00 [pmc-release] AID - 1471-2342-10-11 [pii] AID - 10.1186/1471-2342-10-11 [doi] PST - epublish SO - BMC Med Imaging. 2010 Jun 7;10:11. doi: 10.1186/1471-2342-10-11.