PMID- 24787568 OWN - NLM STAT- MEDLINE DCOM- 20140729 LR - 20140819 IS - 1552-5783 (Electronic) IS - 0146-0404 (Linking) VI - 55 IP - 6 DP - 2014 May 1 TI - Morphology of retinal vessels in patients with optic nerve head drusen and optic disc edema. PG - 3484-90 LID - 10.1167/iovs.14-13903 [doi] AB - PURPOSE: We quantitatively investigated the peripapillary vascular morphology in patients with optic nerve head drusen (ONHD) and optic disc edema (ODE). METHODS: Computer-based fundus analysis was used to investigate peripapillary vascular morphology, including length, branching, and diameter of arteries and veins calibrated by optical coherence tomography. RESULTS: Patients with ONHD showed significantly larger diameters of arteries without branching (P = 0.05), and arteries after primary/before secondary branching (P = 0.04) and secondary venous branching started closer to the optic disc (P = 0.03) compared to healthy controls. The ODE patients had significantly reduced number of small peripapillary veins and larger number of veins without branching compared to ONHD and controls (P = 0.02). Anomalous branching with arterial and venous trifurcation presented in the ODE and ONHD groups, with significant higher prevalence in ODE patients for venous trifurcations compared to ONHD and controls (P = 0.02). CONCLUSIONS: The diameter of vessels in ONHD patients were significantly larger in arteries without branching (P = 0.05), after primary branching (P = 0.04), and venous branching closer to the disc area (P = 0.03) compared to controls. The ODE patients demonstrated widening of the small peripapillary veins measured by a significantly larger number of veins without branching (P = 0.001 and P = 0.02, compared to controls and ONHD, respectively) and less small veins (P = 0.001 and P = 0.04, compared to controls and ONHD, respectively). CI - Copyright 2014 The Association for Research in Vision and Ophthalmology, Inc. FAU - Pilat, Anastasia V AU - Pilat AV AD - Ophthalmology Group, University of Leicester, Leicester, United Kingdom. FAU - Proudlock, Frank A AU - Proudlock FA AD - Ophthalmology Group, University of Leicester, Leicester, United Kingdom. FAU - McLean, Rebecca J AU - McLean RJ AD - Ophthalmology Group, University of Leicester, Leicester, United Kingdom. FAU - Lawden, Mark C AU - Lawden MC AD - Department of Neurology, University Hospitals of Leicester, Leicester, United Kingdom. FAU - Gottlob, Irene AU - Gottlob I AD - Ophthalmology Group, University of Leicester, Leicester, United Kingdom. LA - eng PT - Journal Article PT - Observational Study PT - Research Support, Non-U.S. Gov't DEP - 20140501 PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 SB - IM MH - Adult MH - Female MH - Humans MH - Male MH - Optic Disk/blood supply/*pathology MH - Optic Disk Drusen/*diagnosis MH - Papilledema/*diagnosis MH - Prospective Studies MH - Retinal Vessels/*pathology MH - Tomography, Optical Coherence OTO - NOTNLM OT - optic disc drusen OT - optic disc edema OT - retinal vessels EDAT- 2014/05/03 06:00 MHDA- 2014/07/30 06:00 CRDT- 2014/05/03 06:00 PHST- 2014/05/03 06:00 [entrez] PHST- 2014/05/03 06:00 [pubmed] PHST- 2014/07/30 06:00 [medline] AID - iovs.14-13903 [pii] AID - 10.1167/iovs.14-13903 [doi] PST - epublish SO - Invest Ophthalmol Vis Sci. 2014 May 1;55(6):3484-90. doi: 10.1167/iovs.14-13903.