Choroidal neovascular membrane associated with optic nerve head drusen in a child.
OBJECTIVE
To illustrate the diagnosis, evaluation, and complications of pseudopapilledema in children.


METHODS
We examined a 9-year-old boy who had suspected papilledema and a retinal mass. He had undergone neuroradiologic imaging at an outside facility.


RESULTS
Clinical examination of the patient provided the diagnosis of optic nerve head drusen, pseudopapilledema, and a cicatrized choroidal neovascular membrane. Examination of the boy's parents disclosed optic nerve head drusen in the father.


CONCLUSIONS
Choroidal neovascular membranes caused by optic nerve head drusen are uncommon in children. Clinical examination of the patient and family members, along with B-scan ultrasonography, can establish this cause. Neuroradiologic testing is unnecessary, and carries risk related to the need for sedation.
Brown
S M
SM
W. K. Kellogg Eye Center, University of Michigan, Ann Arbor 48105, USA.
Del Monte
M A
MA
D002114:Calcinosis / Q000175:diagnosis; D002648:Child; D002829:Choroid / Q000098:blood supply*; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006801:Humans; D008297:Male; D008566:Membranes; D009389:Neovascularization, Pathologic / Q000209:etiology*; D015594:Optic Disk Drusen / Q000150:complications*; D009901:Optic Nerve Diseases / Q000175:diagnosis; D010211:Papilledema / Q000209:etiology; D014057:Tomography, X-Ray Computed; D014786:Vision Disorders / Q000209:etiology; D014792:Visual Acuity