Echographic diagnosis of Drusen of the optic nerve head in patients with angioid streaks.
A total of 58 patients (116 eyes) with angioid streaks, referred to this department over 2 years (1990-1992), underwent a thorough ophthalmic examination, retinal fluorescein angiography, dermatological visit with skin biopsy, and a series of other examinations (blood and biochemistry, skull X-ray, vascular echo Doppler, abdominal ultrasound) and eye ultrasonography. Fifty patients (100 eyes, 86.2%) had pseudoxanthoma elasticum (PXE). In the whole caselist, 21.6% had drusen compared with 21.0% in the group with PXE. Both these findings are higher than those published elsewhere. Drusen of the optic nerve head were also found in 25% of the 16 eyes (8 patients) with angioid streaks but no PXE. We believe we found a higher prevalence of drusen of the optic nerve head in these patients with angioid streaks because we systematically employed ultrasound.
Pierro
L
L
Department of Ophthalmology and Visual Sciences, University of Milan, Scientific Institute H.S. Raffaele, Italy.
Brancato
R
R
Minicucci
M
M
Pece
A
A
D000328:Adult; D000368:Aged; D000793:Angioid Streaks / Q000150:complications*; D005260:Female; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006801:Humans; D008297:Male; D008875:Middle Aged; D009887:Ophthalmoscopy; D009898:Optic Disk / Q000000981:diagnostic imaging / Q000473:pathology; D015594:Optic Disk Drusen / Q000000981:diagnostic imaging*; D015995:Prevalence; D014463:Ultrasonography