PMID- 24662838 OWN - NLM STAT- MEDLINE DCOM- 20141230 LR - 20211021 IS - 1536-5166 (Electronic) IS - 1070-8022 (Print) IS - 1070-8022 (Linking) VI - 34 IP - 2 DP - 2014 Jun TI - Assessment of optic nerve head drusen using enhanced depth imaging and swept source optical coherence tomography. PG - 198-205 LID - 10.1097/WNO.0000000000000115 [doi] AB - BACKGROUND: Optic nerve head drusen (ONHD) are calcific deposits buried or at the surface of the optic disc. Although ONHD may be associated with progressive visual field defects, the mechanism of drusen-related field loss is poorly understood. Methods for detecting and imaging disc drusen include B-scan ultrasonography, fundus autofluorescence, and optical coherence tomography (OCT). These modalities are useful for drusen detection but are limited by low resolution or poor penetration of deep structures. This review was designed to assess the potential role of new OCT technologies in imaging ONHD. EVIDENCE ACQUISITION: Critical appraisal of published literature and comparison of new imaging devices to established technology. RESULTS: The new imaging modalities of enhanced depth imaging optical coherence tomography (EDI-OCT) and swept source optical coherence tomography (SS-OCT) are able to provide unprecedented in vivo detail of ONHD. Using these devices it is now possible to quantify optic disc drusen dimensions and assess integrity of neighboring retinal structures, including the retinal nerve fiber layer. CONCLUSIONS: EDI-OCT and SS-OCT have the potential to allow better detection of longitudinal changes in drusen and neural retina and improve our understanding of drusen-related visual field loss. FAU - Silverman, Anna L AU - Silverman AL AD - Department of Ophthalmology, Hamilton Glaucoma Center, University of California, San Diego, California. FAU - Tatham, Andrew J AU - Tatham AJ FAU - Medeiros, Felipe A AU - Medeiros FA FAU - Weinreb, Robert N AU - Weinreb RN LA - eng GR - R01 EY011008/EY/NEI NIH HHS/United States GR - P30 EY022589/EY/NEI NIH HHS/United States GR - P30EY022589/EY/NEI NIH HHS/United States GR - R01 EY021818/EY/NEI NIH HHS/United States GR - EY021818/EY/NEI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - J Neuroophthalmol JT - Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society JID - 9431308 SB - IM MH - *Diagnostic Imaging MH - Humans MH - Optic Disk Drusen/complications/*diagnosis/etiology MH - Perceptual Disorders/etiology MH - *Tomography, Optical Coherence MH - Visual Fields/physiology PMC - PMC4523639 MID - NIHMS709860 EDAT- 2014/03/26 06:00 MHDA- 2014/12/31 06:00 PMCR- 2015/08/04 CRDT- 2014/03/26 06:00 PHST- 2014/03/26 06:00 [entrez] PHST- 2014/03/26 06:00 [pubmed] PHST- 2014/12/31 06:00 [medline] PHST- 2015/08/04 00:00 [pmc-release] AID - 10.1097/WNO.0000000000000115 [doi] PST - ppublish SO - J Neuroophthalmol. 2014 Jun;34(2):198-205. doi: 10.1097/WNO.0000000000000115.