PMID- 37870023 OWN - NLM STAT- MEDLINE DCOM- 20231101 LR - 20231229 IS - 1998-3689 (Electronic) IS - 0301-4738 (Print) IS - 0301-4738 (Linking) VI - 71 IP - 11 DP - 2023 Nov TI - Understanding pseudopapilledema on spectral domain optical coherence tomography. PG - 3552-3557 LID - 10.4103/IJO.IJO_3146_22 [doi] AB - PURPOSE: Optic nerve head drusen (ONHD), peripapillary hyperreflective ovoid mass-like structures (PHOMS), and horizontal hyperreflective lines (HHL) are commonly seen in eyes with pseudopapilledema on enhanced depth imaging (EDI) spectral domain optical coherence tomography (SDOCT). The objective of this study is to assess the frequency of ONHD, PHOMS, and HHL on spectral domain OCT in the eyes diagnosed to have pseudopapilledema. METHODS: A retrospective case-control study included patients diagnosed as pseudopapilledema and had EDI SD OCT imaging of the optic nerve head (n = 48 eyes) and controls (n = 20 eyes). OCT scans through the optic nerve head were studied to diagnose ONHD, HHL, and PHOMS. One proportion z test was used to find the difference in proportions. RESULTS: Forty eight eyes of 27 subjects were studied. ONHD as described by the optic disc drusen Studies consortium was noted in 19 eyes (39.48%), P value-0.032, PHOMS in 31 eyes (64.6%), P value 0.043, HL in 19 eyes (39.48%), P value 0.032, and none of the normals had ONHD, PHOMS, and HHL. CONCLUSIONS: PHOMS are more frequently seen than ONHD and HHL in eyes with pseudopapilledema. FAU - Bassi, Shikha Talwar AU - Bassi ST AD - Neuroophthalmology Services, Sankara Nethralaya, 18 College Road, Chennai, Tamil Nadu, India. FAU - Pamu, Ramesh AU - Pamu R AD - Comprehensive Ophthalmology, Neuroophthalmology Services, Sankara Nethralaya, 18 College Road, Chennai, Tamil Nadu, India. FAU - Varghese, Anjaly AU - Varghese A AD - Department of Optometry, Sankara Nethralaya, 18 College Road, Chennai, Tamil Nadu, India. LA - eng PT - Journal Article PL - India TA - Indian J Ophthalmol JT - Indian journal of ophthalmology JID - 0405376 RN - Pseudopapilledema SB - IM MH - Humans MH - Tomography, Optical Coherence/methods MH - Retrospective Studies MH - Case-Control Studies MH - *Optic Nerve Diseases MH - *Optic Disk Drusen/diagnosis PMC - PMC10752308 OTO - NOTNLM OT - Optic nerve head drusen OT - optical coherence tomography OT - pseudopapilledema COIS- None EDAT- 2023/10/23 12:43 MHDA- 2023/11/01 12:43 PMCR- 2023/11/01 CRDT- 2023/10/23 06:05 PHST- 2023/11/01 12:43 [medline] PHST- 2023/10/23 12:43 [pubmed] PHST- 2023/10/23 06:05 [entrez] PHST- 2023/11/01 00:00 [pmc-release] AID - IndianJOphthalmol_2023_71_11_3552_388348 [pii] AID - IJO-71-3552 [pii] AID - 10.4103/IJO.IJO_3146_22 [doi] PST - ppublish SO - Indian J Ophthalmol. 2023 Nov;71(11):3552-3557. doi: 10.4103/IJO.IJO_3146_22.