[Optic disc drusen or true papilledema?].
BACKGROUND
Bilateral optic disc drusen can mimic papilledema, raising the question of intracranial hypertension and sometimes prompting unnecessary or invasive procedures.


CONCLUSIONS
Optic disc drusen are benign calcified masses, often visible within the optic nerve head. However, their clinical diagnosis can be more difficult at earlier stages of life, when they are buried within the optic nerve. Visual field loss can occur in patients with longstanding optic disc drusen.


CONCLUSIONS
Ophthalmoscopy and B-scan ocular ultrasonography allow appropriate diagnosis of bilateral optic disc drusen mimicking papilledema. On rare occasions, optic disc drusen can be associated with ischemic complications, the other causes of drusen-related visual loss being exceptionally rare.
Khonsari
R H
RH
Service de chirurgie maxillofaciale et stomatologie, CHRU de Nantes, Nantes, France. bwv_1029@yahoo.fr
Wegener
M
M
Leruez
S
S
Cochereau
I
I
Milea
D
D
D003937:Diagnosis, Differential; D005123:Eye / Q000473:pathology; D006801:Humans; D015594:Optic Disk Drusen / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology / Q000473:pathology / Q000628:therapy; D010211:Papilledema / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology / Q000473:pathology / Q000628:therapy